Pathophysiology
What are the three types of stroke?
Hemorrhagic, thrombotic, embolic
A common OTC drug for stroke prophylaxis (generic name only)
acetylsalicylic adic
What is the acronym for stroke symptom recognition?
Balance
Eyes
Face
Arms
Speech
Timing
What 4 assessments will you prioritize as the nurse?
Neurologic assessment
Respiratory status and oxygenation
Monitoring of ICP
Vital Signs & BP Management
What heart rhythm put you at highest risk for an ischemic embolism stroke?
Atrial fibrillation
When is tPA most effective?
3hr after onset of symptoms
What is the most common modifiable risk factor for stroke?
Hypertension
What labs/diagnostics do you anticipate will be ordered?
Head CT
anti xA
CBC
Salvageable brain tissue that surrounds the ischemic core
Penumbra region
What drug is known as a "clot buster" when treating ischemic stroke?
Alteplase (tPA), tenecteplase
What common heart disorder is a leading cause of stroke?
CAD
What are two nursing diagnosis for a patient recovering from a stroke?
¨ Impaired physical mobility
¨ Acute pain
¨ Self-care deficits
¨ Disturbed sensory perception
¨ Impaired swallowing
¨ Urinary incontinence
¨ Disturbed thought processes
¨ Impaired verbal communication
¨ Risk for impaired skin integrity
¨ Interrupted family processes
¨ Sexual dysfunction
What sided stroke is associated with impaired comprehension related to math and language?
Left-brain damage
Factor Xa inhibitor that prevents the formation of new clots
Apixaban
Time is ________?
Brain
What are there antidotes for heparin and warfarin?
Protamine sulfate, vitamin K
A patient who suffered a stroke one month ago is experiencing hearing problems along with issues learning and showing emotion. On the MRI what lobe in the brain do you expect to be affected?
Temporal lobe
What diuretic can be used to treat increasing ICP in hemorrhagic stroke?
Mannitol
At what age does the risk of stroke double for men and women?
55 years old
Right-sided stroke manifestations?
Paralyzed left side: hemiplegia
Left-sided neglect
Spatial-perceptual deficits
Tends to deny or minimize problems
Rapid performance, short attention span
Impulsive, safety problems
Impaired judgment
Impaired time concepts