What is Stroke?

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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


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