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3rd leading cause of death |
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age, gender, race, family hx are |
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non-modifiable risks of cva |
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htn, smoking etoh use, obesity, diet etc... are |
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modifiable risk factors of cva |
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ASA, coumadin, platelet inhibitors, statins (chol. lowering meds), antihypertensives, diuretics are all |
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prevention of modifiable risk factors of cva using meds |
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using coumadin for cva prevention want INR? |
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temporary loss of neurological function caused by ischemia |
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TIA (transient ischemic attack) |
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this happens when? micro emboli blocks blood flow temporarily |
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progressive crebrovascular disease |
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are: long term anticoagulants, carotid endarterectomy (surg. procedure to remove plaque from carotids), transluminal angioplasty (vessel repair) |
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tx of tia and prevention of cva |
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what req 20% of Cardiac output, just to get enough o2 and b12 |
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inflammation response to plaque in brain |
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core area of ischemia is called |
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time limit of removing blood from pneumbra |
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85% of all cva caused by either thrombus (blood clot) or embolism |
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most common cause of cva, may have had tia's prior, results from atherosclerotic changes |
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thromboic stroke (part of ischemic) |
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common to start in heart, but goes up. embolous lodges and occludes cerebral artery opp. direction/same idea as dvt |
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embolic stroke (part of ischemic) |
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15% of all cva 2 types: intracerebral and subarachnoid |
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no set of s/s, do report horrible headache prior to onset. results in bleeding/rupture into brain. damage b/c of pressure and loss of blood |
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pocket of blood, building and may eventually burst, leading to hemorrhage |
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complete loss of language |
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top priority after trauma |
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disolves blood clot, "clot buster" must be used w/in 3hrs of onset need ct/mri to ensure not a hemorragic stroke check coagulation w/ labs hx of NO recent surgery |
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to use activase! Thrombolytic therapy! |
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procedure catheter inserted into brain, using corkscrew, removes blood clot used up to 8hrs of onset blood flow restored w/in 20min |
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time limit to regain any function lost by a cva |
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the loss of 1/2 of your peripheral vision of EACH eye. |
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"tunnel vision" is a loss of |
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when pt has loss of realization of half of their body |
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staggering; unsteady gait |
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difficulty forming words, slurred speech |
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numbness or tingling or abnormal feeling |
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pt does not know where foot/arm is doing during movement, this effects balance |
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proprioception impairment |
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understand spoken words, cannot form speech or write back Ask: Y/N Q's |
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Expressive aphasia AKA's Broca's aphasia |
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can not recieve/understand language,but can still express verbally |
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Receptive Aphasia (Reception effected) |
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Combination of Expressive and Receptive Aphasia. Can not understand or express language |
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Form new language "Made up" |
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inability to recognize previously familiar objects |
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inability to perform known tasks |
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loss of the ability to read |
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