STROKES
The most common type of stroke.
What is ischemic? Specifically thrombotic
Sudden numbness or weakness of face, arm, or leg, especially on one side of body.
What are some of the common symptoms of stroke?
Month and patient's age.
What are LOC Questions?
This is a top priority in care of the patient with altered LOC who may have suffered a stroke (hint: one of the ABCs).
What is maintaining the airway?
Anticoagulants increase the risk of this type of stroke.
What is hemorrhagic stroke?
Numbness, trouble speaking, loss of balance or coordination that resolves
What are common symptoms of TIA?
A commonly ordered test that gives very accurate images that show the presence, location, and size of aneurysms.
What is an MRI?
Open and close eyes and grip and release the grip on hands
What are LOC Commands?
The nurse should elevate the HOB to what degree with dysphagia?
The type of ischemic stroke is caused by a clot or plaque fragment the travels through the bloodstream to the brain.
What is embolic?
Happens with strokes in which there is a vision loss in the same halves of the visual field of each eye
What is homonymous hemianopsia
Commonly ordered tests using IV radioactive compounds and requires an invasive procedure
What are CTA and MRA?
Ask (or use pantomime to encourage) the patient to show teeth or raise eyebrows and close eyes.
What is Facial Weakness
The earliest sign of neurological change.
What is altered level of consciousness (LOC)?
The most common cause of hemorrhagic stroke.
What is hypertension?
Intracerebral hemorrhage
What does FAST mean?
What is facial drooping, arm drift, speech difficulties and time
This clot-busting drug must be given within 4-4.5 hours or onset of stroke symptoms.
What is tPA?
In this subscale exam, the nurse asks the patient to read or repeat words from a list of words. The nurse is assessing for what?
What is Dysarthria?
The nurse is responsible for protecting the patient from this with seizures that may happen with hemorrhagic strokes
What is injury?
The two most common causes of a subarachnoid hemorrhagic stroke.
What is an aneurysm and AV malformation
Name 1 thing that could mimic the signs & symptoms of a stroke
Low blood glucose, medications, electrolyte imbalances, migraines
Name a medication that may be given to decrease BP IV? Hint--beta blocker
What is labetolol
Ask patient to describe what is happening in the picture, name items, and read from a list of sentences. The nurse is assessing speech for what?
What is speech content
Following an ischemic stroke, the patient may be started on what type of medications?
What is anticoagulants, antiplatelet and anticholesterol agents