Vocabulary
What is another name for a CVA?
What is the cerebellum responsible for?
Coordinate movement, posture and balance
What is an endarterectomy?
Removal of plaque from an artery that has become narrowed or blocked
What is the most common type of stroke?
Ischemic Stroke
What is assessed in a patient that has has a CVA?
-LOC
-Visual fields
-Motor function
-Language
-Sensory comparison side to side
What is Diplopia?
Double vision
Midbrain, pons and medulla
What diagnostic test will show narrowing of cerebral blood vessels?
Angiography
Hypertension
Oxygenation
What is Ptosis?
Drooping of the eye
What is the circle of Willis?
A circle of arteries that supply blood to the brain
What are the Signs and Symptoms of a Stroke in a patient?
-Headache
-Numbness
-One sided weakness
-Speech problems
-Visual disturbances
-Dysphagia
-Drooping Mouth
-Confusion
-Weakness
When a patient has had a stroke and is in the acute phase and has Homonymous Hemianopsia, the environment is arranged so that the patients important items are available on which side of the body?
Unaffected Side
What is Dysarthria?
Slurred Speech
Where do most CVA occur in the brain?
Cerebrum
What is the main focus of Rehab in a patient following a stroke?
Return the patient to the highest level of functioning possible.
How are a TIA and a stroke different?
An infraction occurs with a stroke but not in a TIA
When a patient is taking an anticoagulant to reduce the risk of a stroke, the patient has blood labs drawn to monitor the INR. What INR level should the nurse notify the physician.
3.0 or higher
What is contralateral control?
When the left side of the brain controls the right side of the body and vice versa
If a patient has Dysphagia what part of the brain is affected?
Frontal lobe
What are modifiable risk factors for stroke?
-Hypertension -Alcohol
-High Cholesterol -Atherosclerosis
-Obesity
-Smoking -Drugs
What is Homonymous Hemianopsia?
-Loss of on half of the field of vision on the same side in both eyes
-Loss is on the side opposite the brain lesion
When administering the Stroke Scale to a patient you have the repeat the phrase " You can't teach a old dog new tricks". What would be abnormal findings indicating the patient is having a stroke?
-Slurred words
-Uses the wrong words
-Unable to speak