Ischemic
Caused by
Blockage
Caused by
Bleeding
one sided weakness
hemiparesis
first test for suspected stroke
CT
top priority
ABCs
narrowing of vessels
stenosis
arteries are damaged over time from
HTN
slurred speech
dysarthria
used to differetiate ischemic vs hemorrhagic
CT
keep patient NPO until
swallow study
Blood clot that travels from somewhere else
Embolus
Bleeding in space around brain
Subarachnoid hemorrhage
lack of voluntary muscle coordination
ataxia
more detailed than CT
MRI
HOB for increased ICP
30 degrees
Clot formed in artery
Thrombus
Headache description
worst headache of my life
n/v more common in which type
hemorrhagic
mental status change, aphasia and seizure can also resemble
hypoglycemia or E+ imbalance
monitor for this life threatening complication
increased ICP
Med used to dissolve clots
tPA (alteplase)
Treatment focuses on
stop bleeding
sudden confusion and trouble speaking
aphasia
what are the coagulation studies
PT/INR, PTT
fall, aspiration, bleeding