Ischemic or Hemorrhagic
This type of stroke is caused by a blood clot obstructing cerebral blood flow.
What is an ischemic stroke?
First priority when a patient presents with acute stroke symptoms
What is airway management
Positioning intervention to reduce ICP.
What is elevating the head of the bed 30 degrees?
Neurodegenerative disorder characterized by tremor, rigidity, and bradykinesia.
What is Parkinson’s disease?
Initial loss of all neurologic activity below the level of injury.
What is spinal shock (nuerogenic)?
A ruptured blood vessel in the brain results in this type of stroke.
What is a hemorrhagic stroke?
Time window (in hours) for IV tPA administration in eligible patients
What is within 4.5 hours of symptom onset?
Normal adult intracranial pressure range.
What is 5–15 mmHg?
Primary neurotransmitter deficient in Parkinson’s disease.
What is dopamine?
SCI at C3–C5 threatens this critical body function.
What is breathing (diaphragm function)?
This finding differentiates hemorrhagic stroke from ischemic stroke before treatment.
What is bleeding on CT scan?
History of this procedure contraindications for administering tPA.
recent major surgery
active internal bleeding, low platelets, high INR/PT/aPTT, or symptoms of subarachnoid hemorrhage
Classic signs of increased ICP involving BP, HR, and respirations.
What is Cushing’s triad?
Progressive cognitive decline associated with beta-amyloid plaques.
What is Alzheimer’s disease?
Type of paralysis affecting both lower extremities.
What is paraplegia?
Sudden severe headache, nausea, and decreased LOC most strongly suggest this stroke type
What is hemorrhagic stroke?
Blood pressure consideration prior to tPA administration.
What is BP must be controlled below 185/110 mmHg?
Osmotic diuretic commonly used to reduce cerebral edema.
What is mannitol?
Autoimmune demyelinating disease of the CNS with periods of relapse and remission.
What is multiple sclerosis (MS)?
Life-threatening complication of SCI above T6 characterized by severe hypertension.
What is autonomic dysreflexia?
tPA is the treatment of choice in this type of stroke.
What is ischemic stroke?
Intervention used for large-vessel occlusion beyond the tPA window
What is mechanical thrombectomy?
A late sign of increased ICP indicating brainstem compression.
What are irregular respirations? Cheyne Stokes
Cause of Huntington disease
Genetic
Nutrition should be started within this time frame for patients with SCI
What is 72 hours; patient in hypermetabolic state