What is Stroke?
What is a cause of an ischemic stroke?
Development of fatty deposits in the the blood vessel wall
This major drug is an anti platelet
ASA - Aspirin
Which race is at a higher risk to develop stoke?
African American
Definition: Problems writing
Agraphia
Definition: Problems reading
Alexia
Definition: Ballooning of a weakened region of a blood vessel
Aneurysm
What two types of blood vessels usually cause a hemorrhagic stroke?
Aneurysms & Arteriovenous
Name four types of drugs given for stroke therapy
Anti platelet drugs Injectable anticoagulants Oral anticoagulants Thrombolytic enzymes
Definition: Inability to use or comprehend language
Aphagia
Definition: A cluster of abnormal blood vessels
Arteriovenous Malformations
Stoke is also known as what?
Brain Attack
What type of scan is a diagnostic test for stroke
CT Scan
Name several types of surgery for stroke
Carotid endarterectomy (Think roto rooter) Angioplasty Bypass Management of AVM Repair of cerebral aneurysm
What is another name for Thrombolytic enzymes
Clot Busters
When a patient is discharged from the hospital following a stroke, which medication would the patient typically be on
Coumadin
Which medication (name) would be given to the patient following heparin therapy
Coumadin
Name two oral anti coagulants
Coumadin Dicumarol
What is an example of a cognitive clinical manifestation of a stroke
Decreased level of consciousness
Definition: Traveling particle too large to pass through a small vessel
Embolus
Name two injectable anti coagulants
Enoxaparin (Lovenox) Heparin Sodium (Liqualmin)
What is another name for nose bleed
Epistasis
Who is more at risk for developing stoke? Male or Female
Female
Stroke is the _____ leading cause of death in the US
Fourth
What are the three goals of pharmacologic therapy for stroke
Further thrombotic episodes Increase blood flow Protect neurons that are undamaged
This type of stroke is caused when a blood vessel bursts
Hemorrhagic Stroke
What is an example of a respiratory clinical manifestation of a stroke
Labored breathing
A stoke occurs when ______ is interrupted by a _____ or ______
blood flow blocked burst blood vessel
What is an example of a cardiovascular clinical manifestation of a stroke
Increase or decrease in blood pressure
When taking aspirin, the patient is at a higher risk for what?
Increased bleeding Blood in stool
Definition: No blood supply, leading to cell death
Infarction
Name the two types of stroke
Ischemic & Hemorrhagic
This is the the most common type of stroke
Ischemic Stroke
This type of stroke is caused when there is a blocking in the blood vessels to the brain
Ischemic Stroke
What type of stroke would warrant a thrombolytic enzyme to be given
Ischemic stroke
What does the occupation therapist help with
Managing ADLs
What is a sign and symptom of increased ICP (Increased Intracranial Pressure)
Nausea & vomiting
What is an example of a musculoskeletal clinical manifestation of a stroke
Paralysis & numbness
What must be known when giving an injectable anti coagulant
Patient bleeding times
Name several stroke warning signs
SUDDEN weakness of the face, arm, or leg SUDDEN confusion, trouble speaking SUDDEN trouble seeing in one or both sides SUDDEN trouble walking, dizziness SUDDEN severe headaches
Which geographic location also known as the "stroke belt" has a higher risk of developing stroke?
Southeast
Name three thrombolytic enzymes
Streptokinase Urokinase Alteplase
The following are classified as what? Age, sex, race (black), prior stroke, family history
Stroke risk factors that CAN NOT be treated
The following are classified as what? Hypertension, heart disease, smoking, diabetes, elevated cholesterol levels
Stroke risk factors that CAN be treated
How would the nurse administer Enoxaparin (Lovenox)
Sub Q
How would the nurse administer Heparin Sodium (Liqualmin)
Sub Q or IV
In what two instances would Heparin Sodium be given to the patient
TIAs & Ischemic stroke
When a patient suffers a stroke that affects the right side of the body, which side of the brain is affected
The left side of the brain
Why do TIAs occur?
The occur because blood flow through a brain artery is blocked or reduced for a short time
A patient suffers a stroke. They are paralyzed on the left size of their body. What side of the face would the patient be paralyzed?
The right side
Enzymes must be given within how many hours of stroke
Three
Definition: Development of blood clot at the fatty deposit
Thrombus
Excessive alcohol intake can heighten the risk for stroke True or False
True
This occurs when the patient doesn't realize they have a second half of their body
Unilateral neglect
What are transient ischemic attacks also known as TIAs?
Warning strokes that can happen before a major stroke
What is a cause of a hemorrhagic stroke?
When a weakened blood vessel ruptures