Show:
Stoke & Flow to the Brain
Adequate Blood Flow to the Brain
Thrombotic Stroke (Most common type)
Embolic Stroke
Second most common
Hemorrhagic Stroke
100
Bleeding OR Blockage Interrupted blood flow to the brain Lack of Oxygen to brain
What is Stroke
100
Normal ICP
What is 0-15mmHg
100
Thrombotic Stroke is Due to ???
What is HTN, Plaque & Diabetes Oral contraception/arteritis
100
What happens if the brain??
What is Occlusion of a cerebral artery by an embolus
100
The chief complaint from patients
What is I HAD THE WORST HEADACHE EVER!!
200
Cerebral Blood Flow Necessary for a healthy brain
What is 50ml/min
200
Less Neurological loss; Less brain damage
What is If adequate blood flow can be restored in less than 3 hrs
200
What happens in the brain??
What is Clots are formed= injury to the blood vessel
200
Why does it occur??
What is A-FIB, endocarditits, rheumatic heart disease, prosthetic valves, atrial septal defects, long bone fractures, amniotic fluid embolism
200
Prognosis??
What is Prognosis is POOR40-80% die within 30 days!
300
Cerebral Blood Flow needed for a healthy brain
What is MAP needed for auto regulation= 50-150mmHg
300
Warning Signs of Stroke!!!!!
What is Sudden Severe Headache Sudden weakness, paralysis, numbness of face/extremity, especially one side. Sudden dimness/loss of vision in one /both eyes Sudden loss of speech, difficulty speaking, understanding speech, confusion Sudden unexplained dizziness, loss of coordination, loss of balance
300
When is the onset?
What is During or after sleep
300
How fast/slow it occurs & does it have any after effects??
What is Rapid onset , has severe after effects
300
Sudden: Neurologic deficits, Headache, nausea, vomiting, decreased LOC, HTN
What is Signs & Symptoms
400
Cerebral Perfusion Pressure
What is Pressure needed to ensure blood flow to the brain
400
Transient Ischemic Attack (TIA)
What is Brief episodes of neuro symptoms due to microemboli No residual affects 1/3 nerver have it again 1/3 have another one 1/3 have a stroke
400
Another risk factor for Thrombotic Stroke
What is coagulation disorders, smokers, and being male
400
What is the result of a Embolic Stroke
What is Infarction & edema of the area supplied by the vessel.
400
Where is the hemorrhage located??
What is In the PONS= Respiration is rapidly affected.
500
Is potent cerebral vasodilator
What is CO2
500
Depend on the side of the brain affected Blindness or vertigo
What is Signs & Symptoms
500
CT Scan, no Anticoagulant until CT Scan
What is the ONLY DIAGNOSTIC TOOL FOR STOKE!
500
What is the ONLY diagnostic tool for diagnosing Embolic Stroke??
What is CT SCAN before anticoagulant therapy
500
What are the progressive symptoms??
What is Hemiplegia, fixed & dilated pupils, abnormal body posturing & Coma