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PATHOPHYSIOLOGY
SIGNS & SYMPTOMS
RISK FACTORS
LABS/TESTS/MEDS/SURG
NSG MGMT
100
Disruption of blood flow to part of the brain.
What is a Stroke?
100
The speech center is located in the left hemisphere of the brain in most people, if patient suffers right-sided paralysis, is the speech affected and if so what is ithe name for this condition?
What is aphasia?
100
Men, African Americans, people ages 51-74, and those predisposed all have what in common:
What is Cerebrovascular accident?
100
Two common test to rule out CVA and/or intracranial lesions such as tumors, aneurysms, and abscesses.
What are CT and MRI?
100
Name an intervention for ineffective tissue perfusion.
What is monitor ICP, vital signs, I&O; avoid increased of ICP, raise HOB, diminishes hemorrhage and/or increased ICP; lower HOB-promotes cerebral perfusion (thrombus or emboli)?
200
Cerebrovascular accident is also known as:
What is CVA?, Brain attack
200
A patients has memory deficits, slow cautious behavior and aware of these deficits, what side of the brain was affected?
What is left-brain stroke (damage)?
200
Name three modifiable risk factors related to CVA
What is HTN, Cardiac disease, DM, Hypotension, Migraine headaches, conditions that increase risk of blood clotting (sickle cell anemia), Alcohol and drug abuse, cigarette smoking, obesity, high-fat diet?
200
Besides CT and MRI there is another test used to detect CVA.
What is Angiography, duplex ultrasonography, and crebral angiography
200
Name two devices used to transfer CVA patients.
What is cane, walker, wheelchairs and slide board?
300
Three main types of CVA
What is Ischemic, embolism, and hemorrhage
300
Defined as paralysis of one side of the body.
What is hemiplegia?
300
Name four non-modifiable risk factors.
What is age, race, gender, and heredity?
300
What medication is used for that focuses on the main causative diseases but helps prevent CVA.
What is Beta Blocker and Blood Thinners
300
Name two nsg interventions used when feeding a CVA patient.
What is SLP, swallowing evaluation, high fowlers thick liquids swallow twice, chin-chest, amall meals, no straws, refrain from talking.
400
This type of CVA is commonly caused by poor control of HTN, resulting in slow recovery, increased probability of neurologic deficits, and effects cannot be reversed by meds.
What is Hemorrhagic stroke?
400
A patient presents with quick impulsive behavior, impaired judgement and left-sided neglect.
What is right-sided stroke (damage)?
400
The common denominator of these risk factors: HTN, cardiac disease and diabetes mellitus is
What is Atherosclerosis?
400
Name two types of surgeries that used as treatment after a CVA.
What is endarterectomy and craniotomy?
400
Name two interventions for risk for injury r/t seizure activity.
What is padded side rails. call light and other items within reach, assist with ambulation, suction as needed, create unobstructed pathway, monitor temperatures, and oxygenation?
500
There are at least five other causative factors that can lead to CVA, name three.
What is Syphilis, trauma, HTN, hypoxia, or any thing that reduces blood flow to the brain.
500
Dysarthria is a communication disorder caused by neurological damage that prevent s normal control of muscles used in speech. Where is the lesion located that is responsible for this damage?
What is Upper motor neurons?
500
Name three causes of stroke among individuals younger than 45 years.
What is weight, stress, HTN, drug abuse, use of birth control pills in combination with smoking, congenital heart conditions, mitral valve prolapse, A-fib, infectioous endocarditis, sickle cell, rheumatic fever, or leukemia?
500
A patient has to give permission for certain labs and tests to be performed, what is this referred as?
What is a consent form?
500
Name two interventions for impaired communication.
What is SLP, be patient, anticipate patients needs, slow clear speech, face patient, KISS- keep, it ,simple , stupid