STROKES
Risk Factors for Stroke
TESTS & TREATMENTS
Stroke Scales
Rehab Principles
100
The most common type of stroke.
What is ischemic?
100

Age and gender fall under this category of risk factors.

What are non-modifiable risk factors?

100

A commonly ordered initial imaging test to determine if a stroke has occurred and what kind of stroke.

What is a CT scan without contrast?

100

This grading scale is to be used on the initial rehabilitation evaluation of all stroke patients.

What is Modified Ranking Scale?

100

This period of time must elapse before therapy evaluations are performed on patients who have received tPA.

What is 24 hours?

200
Anticoagulants and thrombotics increase the risk of this type of stroke.
What is intracerebral hemorrhagic stroke?
200

The risk for hemorrhagic stroke is notably higher for this ethnic group.

What are African-Americans?

200

A commonly ordered test that gives very accurate images that show the presence, location, and size of aneurysms or acute infarcts.

What is an MRI?

200

This commonly used clinical scale of stroke patients is designed to assess the severity of signs/symptoms after a stroke.

What is the NIH Stroke Scale (NIHSS)?

200
Head of bed in Semi-Fowler's position (30 degrees) or higher.
What is the preferred position for patients with dysphagia?
300

The type of ischemic stroke caused by a clot or plaque fragment that travels through the bloodstream to the brain.

What is embolic?

300

This medical condition increases stroke risk two-fold.

What is diabetes mellitus?

300

Commonly ordered tests using IV radioactive compounds to image blood flow of the brain and neck in cases of stroke.

What are CTA and MRA?

300

The Modified Rankin Scale has been used in clinical research and practice for greater than:

A) 15 years

B) 30 years

C) 50 years.

What is B) 30 years?

300

Once an order for therapy evaluation is entered for a stroke patient, the expectation is that they will be seen within this period of time.

What is 24 hours?

400
The most common cause of intracerebral hemorrhagic stroke.
What is hypertension?
400

When elevated, this lipid profile component is considered protective against stroke.

What is HDL?

400
This clot-busting drug must be given within 3 hours or onset of stroke symptoms.
What is tPA?
400

This number in the Modified Rankin scale correlates with severe disability, bed bound status, and requirements for constant nursing care/attention.

What is 5?

400

Ensuring bed rails are up, call bell is within reach, and RN is notified of treatment conclusion are critical measures in protecting stroke patient from this.

What is fall/injury?

500

The two most common causes of subarachnoid hemorrhagic stroke.

What are head trauma and aneurysm?

500

Atrial fibrillation is a major risk factor for stroke due to this process within the heart.

What is abnormal rhythm with stasis of blood?

500

An approved treatment that involves threading through the arteries into the brain to retrieve a clot.

What is thrombolectomy?

500

NIH Stroke Scale has historically not been reliable in picking up deficits associated with strokes in this region of the brain.

What is cerebellar stroke?

500

This form of therapy has been shown to improve brain and motor function in hemiparetic patients but is also quite labor intensive for therapists and rehabilitation staff. (hint: it was discussed last week)

What is constraint induced movement therapy?