What is
SPATIAL PERCEPTION ALTERATIONS (neglect of of affected side)
MOTOR FUNCTION
COMMUNICATION
AFFECT
INTELLECTUAL FUNCTION
ELIMINATION
100
IN t-PA Thrombolytic therapy (within 3 hrs of s/s)
Anticoagulants
Platelet Inhibitors
Management of BP
Management of Body Temp
What is Stroke Treatment
100
TODDLERS
Adolecents/Young adults
Over age 65 (FALLS)
HIGHEST RISK IS MEN AGES 14-24
What is Risks for TBI/Head Injuries
100
Clinical Manifestations Bacterial Meningitis
What is
**RASH**
INCREASED ICP & CSF VOLUME
PHOTOPHOBIA
DECREASED LOC
POSITIVE KEMIG'S SIGN
POSITIVE BRUDZINSKI'S SIGN
200
What is the cause??
What is
Aneurysm (congenital or acquired)
Valve malformation
Trauma OR HTN
200
RIGHT BRAIN DAMAGE
What is
Paralyzed left side
Left-Side neglect (unaware of arm)
Spacial-Perceptual Deficits (hemianopsia)
Deny or Minimize Problems exist
SHORT ATTENTION SPAN
IMPUSLIVE
IMPAIRED CONCEPT OF TIME
200
Preserve Life
Prevent further brain damage
Reduce level of disability
Treatment varies depending on stroke
Treatment changes as progresses from acute to rehab phase
What is Acute Care in CVA
200
HEMORRHAGIC TYPES
What is
SUBDURAL (underneath dura mater)
EPIDURAL ( within dura mater)
INTRACEREBRAL (within cerebra)
SUBARACHNOID (around the brain)
200
Acute inflammation of the meningeal tissues surrounding the brain and the spinal cord
What is Bacterial Meningitis
300
What is the predisposing factor??
What is
Strenuous Activity
300
LEFT SIDED BRAIN DAMAGE
What is
Right Sided Hemiplegia
IMPAIRED SPEECH/LANGUAGE (dysphagia/dysarthia)
Impaired left to right discrimination
SLOW PERFORMANCE /CAUTIOUS
Aware of deficits
Depressed/ Anxious
IMPAIRED MATH COMPREHENSION & LANGUAGE
300
MONITOR CLOSELY FOR INCREASING NEURO DEFICITS!!
MANAGE RESPIRATORY STATUS
CARDIOVASCULAR
MUSCULOSKELETAL
INTEGUMENTARY
BOWEL & BLADDER
What is ACUTE TREATMENT & CARE
300
The normal Intracranial Pressure
What is 0-15
300
Prompt treatment is critical!!!
What is
Antibiotics & Dexamethasone
400
What is the ONLY diagnostic tool used to diagnose this type of stroke?
What is CT SCAN BEFORE IV t-PA
400
What is the Tertiary Prevention(restoration & rehabilitation) Measures??
What is
Promote optimal functioning related to physical, mental & social well-being
400
WHAT ELSE TO REMEMBER DURING CARE OF A CVA PATIENT
What is
INCREASED HOB
STOOL SOFTENERS
400
Care of patient with ICP
What is
Often peaks within 72 hrs
ELEVATE HOB
KEEP GOOD HEAD & NECK ALIGNMENT
AVOID HIP FLEXION
KEEP TEMPERATURE COOL
400
Intial Assessment should include???
What is
Vital Signs
Neuro Assessment
I/O
Evaluation of lungs & skin
500
What are the contraindications for IV t-PA
What is
MUST BE USED WITHIN 3 HRS OF THE ONSET OF S/S
Recent GI Bleed
Stroke
Head Trauma in the past 3 months
Major surgery in the past 14 days
500
What to remember about Pyramidal Pathway??
What is
It crosses at the level of the medulla
500
WHAT IS THE PURPOSE OF t-PA??
What is
DECREASE CLOTS THAT WILL CAUSE THE STROKE
500
Drug Therapy for ICP
What is
Mannitol (diuretic)
Corticostreroids (anti-inflammatory)
Barbituates
AntiSezure (dilantin)
500
Complications of Bacterial Meningitis??
What is
INCREASED ICP
NEURO DYSFUNCTION
HEMIPARESIS
DYSPHASIA
HEMIANPSIA
DIC SHOCK