Nervous System
Causes of AMS
Types of Stroke
Stoke Assessment
Time is tissue
100
Dilates pupils, inhibits salivation, relaxes bronchi, increases heart rate
What is Sympathetic Nervous System
100
Patient suffers severe injury to their body where it directly or indirectly affects their brain which causes them to have a brief or chronic AMS
What is Trauma
100
795,000 new or recurrent incidents each year and is the No. 4 cause of death as of 2012
What is Stoke
100
Speech (slurred), Facial Droop (left/right), Arm Drift (weakness)
What is Cincinnati Pre-hospital Stroke Screen (CPCC)
100
Detection, Dispatch, Delivery, Door, Data, Decision, Drug,
What is Seven "D's" of the Stoke Chain of Survival
200
Contract bladder, stimulates gallbladder, stimulates digestion, constricts bronchi
What is Parasympathetic Nervous System
200
Patient suffers an adverse reaction to some type of infection or change in normal body chemistry that causes them to have an AMS
What is Medical
200
Accounts for 20% and can either be intra-cerebral or subarachnoid
What is Hemorrhagic Stroke.
200
Inability to produce understandable speech. Left hemisphere problem
What is aphasia
200
Avoid giving glucose, Avoid treating hypertension, Avoid causing aspiration, Avoid high flow O2
What are Stoke Care Precautions
300
Inhibits digestion, stimulates glucose release, relaxes bladder, secretion of epinephrine and norepinephrine
What is Sympathetic Nervous System
300
Brain tumor, hemorrhage inside the skull or inside the brain tissue, direct trauma to brain tissue, degenerative diseases of the brain, brain infection or abscess
What is Structural causes of AMS
300
Accounts for 80% and occurs when a clot inside the blood stream occludes a vessel inside the brain. Mostly due to thromboembolic disease which forms in the heart or vascular system.
What is Ischemic stoke.
300
Can speak clearly but uses inappropriate words. Left Hemisphere problem
What is receptive aphasia
300
Hypoglycemia, Postictal state after seizure, Migraine, Abscess, Subdural hematoma
What are Stroke Mimics
400
Constricts puplis, stimulates salivation, slows heart rate
What is Parasympathetic Nervous System
400
Severe hypoxia or anoxia, abnormal blood glucose, liver failure, kidney failure, poisoning (CO or HCN)
What is Toxic or Metabolic causes of AMS.
400
Hypertension, diabetes, hypercholesterolemia, smoking, prior stroke, heart disease, drug and excessive alcohol use.
What are Modifiable Risk Factors
400
Inability to pronounce speech clearly due to lose of nerves or brain cells that control the small muscles of the larynx.
What is Dysarthria
400
Chief complaint "This is the worst headache of my life"
What is Hemorrhagic Stroke.
500
Controls many body functions that occur without voluntary control
What is Autonomic Nervous System
500
1. Forebrain assaults motor coordination and decision making. 2. Midbrain-causes lose over control of emotions and increases chances of blackout. 3. Brainstem-affects heart rate, body temperature, appetite and consciousness.
What is how alcohol attacks the brain.
500
Advanced age, male gender, race and family history
What is Non-modifiable Risk Factor.
500
Head to Exam assessing Cranial nerves; visual fields, horizontal gaze, face strength, dysarthria. Limbs; R/L arm motor function, R/L leg motor function, coordination and sensation.
What is MEND Exam
500
Eye Opening Best Verbal Response Best Motor Response
What is Glasgow Coma Scale
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