Term
| What are the two main types of stroke? Which is more common? |
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Definition
| ischemic (thrombotic>embolism), hemmorhagic. ISCHEMIC more common |
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Term
| Stroke in children--what is the primary type of stoke in perinatal infants? Children? |
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Definition
| Hemorrhagic (from in utero to 28 days); In CHILDREN it's 50/50 ischemic and hemorrhagic |
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Term
| What are the 6 main risk factors for stroke? What are the 8 modifiable risk factors for stroke? |
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Definition
| 1.HBP, 2.HBcholesterol, 3.sedentary lifestyle, 4.smoking, 5.heart dysrhythmia, 6.diabetes mellitus |
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Term
| What are the characteristics of TIA? |
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Definition
| Reversible within 15min-24hrs of initiation, [facial symmetry, arm drift, weak, numb, visual impairments, aphasia, syncope] |
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Term
| What is the significance of the Stroke ABCD score? |
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Definition
| 30% of TIA patients with an ABCD =6 end up having a stroke within one year. [Age, BP, Clinical Feat, Duration] |
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Term
| What are the 6 warning signs of stroke? |
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Definition
| SUDDEN 1. Numbness/weakness on ONE SIDE, 2. confusion, 3. trouble speaking and understanding, 4. trouble seeing in one or both eyes, 5. trouble walking, 6. severe headache with unknown cause. |
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Term
| What considerations before treatment of Ischemic stroke with anticoagulants like T-Pa |
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Definition
| SBP<185, DBP<110 within 3-4.5 hrs of onset |
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Term
| What are treatments for hemorrhagic stroke? |
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Definition
| Vit K (reverse anti-coag), coiling/wrapping an aneyurism, surgical removal of hematoma |
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Term
| What parts of the brain are supplied by the MID CEREBRAL ARTERY? |
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Definition
| Frontal, parietal and temporal--aphasia and hemiplegia |
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Term
| What are the clinical manifestations of a stroke (dependent upon vessel that is affected) |
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Definition
| Motor, speech, emotions/affect, intellectual, spatial/perceptual, elmination (b/b) |
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Term
| Left sided stroke deficiets include: |
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Definition
| aphasia, agraphia, alexia, WORRIED and SLOW |
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Term
| Deficits of RIGHT sided stroke |
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Definition
| Speech rhythm, no depth perception, impaired time concept, impulsive, hurried, neglect left side of body |
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Term
| People with Dysarthria (trouble with speech) may also have trouble doing what? |
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Definition
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Term
| Bladder training techniques include: |
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Definition
| Remoing the foley ASAP. Voiding trials (fluid btw 0700-1900), void Q2h use bladder ultrasound to make sure fully empty, cath Q4h if cannot void. avoid nicotine and diuretics. |
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Term
| What are the secondary preventions to be aware of for stroke patients? |
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Definition
| Risk for subsequent stroke, BP control, diabetes control, weight reduction (ideally BMI 19), physical activity 30 min moderate most days, stop smoking, anti coag for cardioembolic stroke types, cholesterol control (statins) |
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