Term
| Which type of stroke accounts for 80-90% of CVAs? |
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Definition
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Term
| Which type of stroke will have a TIA/transient ischemic attack as a prodromal stage? |
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Definition
Occlusive stroke has TIA/Transient Ischemic Attack as a warning sign of occlusive stroke.
*occlusive stroke is easier to manage since it has a warning sign* |
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Term
| What is an usual cause of occlusive stroke? |
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Definition
occlusive stroke cause
> atherosclerosis
> thrombosis
>other cause: other causes of thrombosis
>embolism
*atheroma+thrombus = greater risk of occlusive stroke*
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Term
| Which type of stroke accounts for 10-20% of CVAs? |
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Definition
hemorrhagic stroke
*usual cause:hypertension*
*other causes: aneurysm (promotes thrombosis), other types of malformation/weakness in vessels*
*very high fatality rate* |
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Term
Which type of stroke is known to have a very high fatality rate?
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Definition
hemorrhagic stroke
*it is hard to treat, hard to work with, and surgical interventions are not safe*
*EMS tx not so effective; focus on stabilizing and controlling the bleeding* |
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Term
What stage of an occlusive stroke is best treated with thrombolytic therapy or surgery?
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Definition
an occlusive stroke is best treated at the TIA/prodromal stage
*can even prevent the stroke altogether* |
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Term
| Which type of stroke rests with a greater chance of survival? |
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Definition
Occlusive stroke
*preceded by 1/+ TIA/transient ischemic attack = greater chance of survival (with atherosclerotic/thrombotic type) especially of thrombic occlusion progresses more slowly (thrombi to full occlusion = over a few hrs to a few days)* |
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Term
True or false?
The first stroke is the most dangerous.
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Definition
False
Mortality from subsequent strokes is much higher
*survivors experience a range of prognoses from full recovery to permanent disability*
*common in edler pop* |
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Term
| What is the rate of mortality rate for first strokes in the US? |
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Definition
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Term
What best describes a stroke?
a) infarction of brain tissue
b) a person having a heart attack
c) i don't know |
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Definition
a) infarction of brain tissue
*"brain attack"*
*similar to heart attacks in predisposing factors* |
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Term
| In relation to the proceedure "act F.A.S.T.", why would you ask the person to smile? |
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Definition
Ask the person to smile
> Does one side of the face droop?
*FAST = Face Arms Speech Time* |
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Term
| In relation to the proceedure "act F.A.S.T.", why would you ask the person to raise both arms? |
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Definition
Raise both arms
> Does the arm drift downward?
*FAST = Face Arms Speech Time* |
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Term
| In relation to the proceedure "act F.A.S.T.", why would you ask the person to repeat a simple sentence? |
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Definition
Repeat a simple sentence
> Are the words slurred? Can he/she repeat the sentence correctly?
*FAST = Face Arms Speech Time* |
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Term
| In relation to the proceedure "act F.A.S.T.", when would you call 911? |
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Definition
If person shows any symptoms (ie: face drooping, arm drifting downard, slurred speech), you will call 911.
*FAST = Face Arms Speech Time* |
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Term
| Which word is defined as sudden difficulty speaking or understanding speech? |
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Definition
| aphasia: sudden difficulty speaking or understanding speech |
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Term
| Which type of stroke is associated with sudden,severe, unusual headaches? |
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Definition
Hemorrhagic stroke
*may be accompanied by a stiff neck, facial pain, pain between the eyes, vomiting or altered consciousness* |
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Term
True or false?
Twice as many women die of stroke than breast cancer every year. |
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Definition
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Term
What s/s of strokes are particular to women?
*reminder that women may have different symptoms* |
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Definition
> sudden hiccups
> sudden nausea
> sudden tiredness
> sudden pounding/racing heartbeat
> SOB
> seizure
> loss of consciousness/fainting
> falls/accidents |
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Term
| Where is pressure strongest in an aneurysm site? |
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Definition
sites of aneurysm
hemodynamic pressure is strongest at bifurcation point |
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