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Details

CVA
CVA
46
Health Care
Professional
11/13/2008

Additional Health Care Flashcards

 


 

Cards

Term
2 types of cva
Definition
ischemic
hemorrhagic
Term
lack of blood flow?
Definition
ischemic
Term
bleeding of brain
Definition
hemorrhagic
Term
3rd leading cause of death
Definition
cva
Term
age, gender, race, family hx are
Definition
non-modifiable risks of cva
Term
htn, smoking etoh use, obesity, diet etc... are
Definition
modifiable risk factors of cva
Term
ASA, coumadin, platelet inhibitors, statins (chol. lowering meds), antihypertensives, diuretics are all
Definition
prevention of modifiable risk factors of cva using meds
Term
using coumadin for cva prevention want INR?
Definition
2.5-3.5
Term
temporary loss of neurological function caused by ischemia
Definition
TIA (transient ischemic attack)
Term
this happens when? micro emboli blocks blood flow temporarily
Definition
TIA
Term
TIA is a warning sign of
Definition
progressive crebrovascular disease
Term
are: long term anticoagulants, carotid endarterectomy (surg. procedure to remove plaque from carotids), transluminal angioplasty (vessel repair)
Definition
tx of tia and prevention of cva
Term
what req 20% of Cardiac output, just to get enough o2 and b12
Definition
brain
Term
inflammation response to plaque in brain
Definition
atherosclerosis
Term
core area of ischemia is called
Definition
pneumbra
Term
time limit of removing blood from pneumbra
Definition
3hrs
Term
85% of all cva
caused by either thrombus (blood clot) or embolism
Definition
Ischemic stroke
Term
most common cause of cva, may have had tia's prior, results from atherosclerotic changes
Definition
thromboic stroke (part of ischemic)
Term
common to start in heart, but goes up. embolous lodges and occludes cerebral artery
opp. direction/same idea as dvt
Definition
embolic stroke (part of ischemic)
Term
15% of all cva
2 types: intracerebral and subarachnoid
Definition
Hemorrhagic strokes
Term
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
Definition
hemorrhagic
Term
pocket of blood, building and may eventually burst, leading to hemorrhage
Definition
aneurism
Term
complete loss of language
Definition
aphagia
Term
difficulty w/ language
Definition
dispahgia
Term
top priority after trauma
Definition
get bp in control
Term
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
Definition
to use activase!
Thrombolytic therapy!
Term
procedure
catheter inserted into brain, using corkscrew, removes blood clot
used up to 8hrs of onset
blood flow restored w/in 20min
Definition
ischemic-MERCI procedure
Term
time limit to regain any function lost by a cva
Definition
1 year
Term
the loss of 1/2 of your peripheral vision of EACH eye.
Definition
homonymous hemianopsia
Term
"tunnel vision" is a loss of
Definition
peripheral vision
Term
double vision
Definition
diplopia
Term
when pt has loss of realization of half of their body
Definition
unilateral neglect
Term
one sided weakness
Definition
hemiparesis
Term
one sided paralysis
Definition
hemiplegia
Term
staggering; unsteady gait
Definition
ataxia
Term
difficulty forming words, slurred speech
Definition
dysarthria
Term
swallowing impairment
Definition
dysphagia
Term
numbness or tingling or abnormal feeling
Definition
parathesia
Term
pt does not know where foot/arm is doing during movement, this effects balance
Definition
proprioception impairment
Term
understand spoken words, cannot form speech or write back
Ask: Y/N Q's
Definition
Expressive aphasia
AKA's Broca's aphasia
Term
can not recieve/understand language,but can still express verbally
Definition
Receptive Aphasia
(Reception effected)
Term
Combination of Expressive and Receptive Aphasia.
Can not understand or express language
Definition
Global Aphasia
Term
Form new language "Made up"
Definition
Neologism
Term
inability to recognize previously familiar objects
Definition
Agnosia
Term
inability to perform known tasks
Definition
Apraxia
Term
loss of the ability to read
Definition
Alexia
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