Achy Brainers
TIA’s
CVA’s
Random
Cerebral Aneurysms
100
What occurs when a person contracts the neck and facial muscles for a prolonged period of time?
What is Tension headaches pg. 603
100
A sudden, brief episode of neurologic impairment caused by a temporary interruption in cerebral blood flow
What is Transient ischemic attack pg. 606
100
What is a prolonged interruption in the flow of blood through one of the arteries supplying the brain?
What is Cerebrovascular accident pg. 609
100
Once this chemical is inside the brain cells, it literally overexcites them, causing disordered enzyme activities that release toxic free radicals, which destroy the cells
What is Glutamate pg. 610
100
Where do most cerebral aneurysms occur?
What is Cerebral aneurysms usually occur in the circle of Willis, a ring of arteries that supply the brain. Pg. 617
200
What is variant of migraines, episodic, and recurring 6 to 8 weeks with only brief periods of recovery between multiple daily attacks?
What is Cluster headaches pg. 603
200
Symptoms such as these suggest TIA
What is light-headedness, confusion, speech disturbances, loss of vision, diplopia, variable changes in consciousness, numbness, weakness, impaired muscle coordination, or paralysis on one side.
200
Brain and cerebral nerve cells are extremely sensitive to a lack of oxygen, if the brain is deprived of oxygen for how many minutes during a stroke, they both begin to die?
What is 3 to 7 minutes pg. 609
200
Why is Aspirin given prophylactically in clients with a history of or at risk for TIA?
What is Aspirin (50–100 mg/day orally) is given prophylactically be-cause it inhibits platelet aggregation and therefore prevents blood clots from forming within arteries. Pg. 609
200
Symptoms of a cerebral aneurysm are
What is Symptoms include sudden and severe headache, dizziness, nausea, and vomiting, usually followed by a rapid loss of consciousness. Pg. 618
300
What foods trigger migraine headaches?
What is Aged cheese, alcohol, bananas, figs, raisins, caffeine, citrus fruits, chocolate, dairy products, fermented or pickled food, nuts, onions, pea or lima bean pods, processed foods, saccharin or aspartame, and yeast containing products.
300
Impaired blood circulation in the brain, which can be caused by atherosclerosis and arteriosclerosis, cardiac disease, or diabetes can lead to what
What is TIA’s pg. 606
300
What are the two types of stroke?
What is Ischemic strokes and hemorrhagic stokes pg. 610
300
Why would oxygen be given during a headache?
What is Oxygen may be used during a headache to reduce the vasodilating compensatory response occurring in the brain. Pg. 605
300
What does grade five on the Hunt Hess scale indicates?
What is Comatose, severe neurologic deficits such as posturing pg. 618
400
What herbal remedy aids in the reduced frequency of migraines?
What is feverfew (chrysanthemum parthenium) pg. 605
400
What is the recommended proactive therapy for clients who have experienced or are at risk for experiencing a TIA?
What is Control blood pressure with or without medications, lose excess weight, and stop tobacco and alcohol abuse. Pg. 608
400
Occur when a thrombus or embolus obstructs an artery carrying blood to the brain; about 80% of strokes are the ischemic variety.
What is Ischemic strokes pg. 610
400
What drugs trigger migraine headaches?
What is Analgesic overuse, Benzodiazepine withdrawal, Cimetidine, Decongestant overuse, Estrogen replacement, Fenfluramine, Indomethacin, Nifedipine, Nitrates, Oral contraceptives, Reserpine, and Theophylline pg.605
400
What is the recommended medical management for pts. With cerebral aneurysm?
What is Complete bed rest, anticonvulsant therapy, elevate the HOB, control HTN, and mechanical ventilation if pt. is unconscious pg. 618
500
Persistent headaches require test such as these to rule out neurological disorders, such as brain tumor, or intracerebral hemorrhage
What is CT scan, brain scan, head and neck radiographs, and angiography. Pg. 604
500
What are common drugs use to prevent or treat cerebral vascular disorders?
What is Antiplatelet, glycoprotein inhibitors, thrombolytic, anticoagulants, and direct thrombin inhibitors pg. 608
500
Occur when a cerebral blood vessel ruptures, and blood is released in brain tissue
What is Hemorrhagic strokes pg. 610
500
When is prophylactic therapy used to treat migraines?
What is Prophylactic drug therapy may be necessary if migraine headaches occur several times a month and produce severe impairment, or if acute attacks are not adequately relieved. Pg. 605
500
Which assessment would be a priority for a newly admitted pt. suspected of having a cerebral aneurysm?
What is Head to toe assessment and neurologic exam pg. 620
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