ABI Overview
How long does a CVA last?
more than 24 hours
Which lobe is associated with impulsive behavior and poor judgement?
Frontal Lobe
What is the main thing to worry about with someone with Dysphagia?
Aspiration
What blood pressures do you stop at for both hemorrhagic and ischemic strokes?
Bonus point for target range!!
H: > 160/90
I: > 200/110
Target range: 140/90 or 130/80 for CKD
What is the difference between ideational and ideomotor?
ideational: breakdown in conceptualization of task, hand over hand guidance
ideomotor: cant produce movement on command
Which type of stroke is most common and tell me about it?
inadequate blood supply due to thrombosis or embolus
most common area is lentriculostriate
Which functional area is associated with inability to recognize faces or localize sounds?
Sensory Association Cortex
How long should patients remain upright after feeding?
30-60 min
What is an overview of the Brunnstrom Stages?
flaccidity, synergy, spasticity, less spasticity and synergy, normal
push to hemiplegic side - lateropulsion
Early medical management for ischemic stroke
anti-coagulation therapy via aspirin
Which hemisphere is dominant? Name 3 things associated with this hemisphere.
Left side- language
right side motor involvement, aphasia, dysarthria, overly cautious, preservations, motor apraxia
What's the difference between Brocas and Wernickes aphasia?
W: fluent and receptive, difficult understanding spoken language, more difficulties in spatial awareness
B: non-fluent and expressive, motor areas of speech, no open ended questions
What limb is the exception to not being put in closed pack positions?
ankle - dorsiflexion to prevent contracture
What is the difference between aphasia and verbal apraxia?
aphasia - language impairment
verbal apraxia - inability to execute volitional movements for speech, breakdown in motor plan
What situations cause a hypoxic brain injury?
choking, high altitude, and severe asthma attacks
Which brain region is associated with loss of contralateral movement and somatosensation?
Internal Capsule
What modified liquid is closest to water?
Nectar thick
What is the goal in acute care? aka what do they work on?
contracture prevention, positioning (every 2 hours), early bed mobility, initiation of gait
Treatment of pusher syndrome
maintain head in midline, position UE in poor position to push, early treatment in front of a mirror
You have a patient that was an athlete who worked out 5 days a week prior to having a stroke. She has good home support and is motivated to get better. What is her supervision level?
independent/modified independent
Which arterial supply deals with vertigo, nausea/vomiting, and nystagmus?
Vertebral-Basilar
What is global aphasia and what communication strategies do you use?
both production and comprehension issues
communication boards and FLACC scale
what muscles do you facilitate with tape?
deltoid, supra, infra, rhomboids
difference between pusher syndrome and loss of balance
pushers is active, fall is passive