Brain Attack - Exam 3

Front 1

What does FAST stand for?

Back 1

F - Face - does the face look uneven?
A - Arms - Ask person to raise both arms - Does one arm drift down?
S - Speech - Does their speeh sound strange? - Ask person to repeat a simle phrase for ex "The sky is blue"
T - Time - If you observe any of these signs, call 911

Front 2

What is the most significant therapy for reduction of CVA chance?

Back 2

Control of HTN

Front 3

What increases women's risk for CVA 5x?

Back 3

Smoking and birthcontrol

Front 4

Who is at highest risk for CVA?

Back 4

African Americans with HTN, especially men

Front 5

What sorts of pathological problems are associated with CVA's?

Back 5

CAD, DM, HTN, SCA, MI, Migraine

Front 6

Modifiable risk factors for CVA's

Back 6

Alcohol, smoking, obesity, high fat diet, drug abuse

Front 7

Symptoms of carotid occlusion

Back 7

Temp loss of vision, confusion, hemiparesis, aphasia

Front 8

Symptoms of vertebrobasilar occlusion

Back 8

tinnitus, vertigo, darkened or blurred vision, diplopia, ptosis, dysphagia, weakness or numbness

Front 9

Effects of stroke on rt brain

Back 9

Left hemiplegia, sptial-perceptual deficits, denies or minimizes problems, short attention span, impaired judgement, impulsive with safety, impaired time concepts

Front 10

What does FAST stand for?

Back 10

F - Face - does the face look uneven?
A - Arms - Ask person to raise both arms - Does one arm drift down?
S - Speech - Does their speeh sound strange? - Ask person to repeat a simle phrase for ex "The sky is blue"
T - Time - If you observe any of these signs, call 911

Front 11

Effects of stroke on left brain

Back 11

Rt hemiplegia, impaired speech or aphasia, impaired ability to determine r from l, depressed, anxious, slow and cautious, unable to perform math

Front 12

What is the most significant therapy for reduction of CVA chance?

Back 12

Control of HTN

Front 13

What increases women's risk for CVA 5x?

Back 13

Smoking and birthcontrol

Front 14

Who is at highest risk for CVA?

Back 14

African Americans with HTN, especially men

Front 15

What sorts of pathological problems are associated with CVA's?

Back 15

CAD, DM, HTN, SCA, MI, Migraine

Front 16

Modifiable risk factors for CVA's

Back 16

Alcohol, smoking, obesity, high fat diet, drug abuse

Front 17

Symptoms of carotid occlusion

Back 17

Temp loss of vision, confusion, hemiparesis, aphasia

Front 18

Symptoms of vertebrobasilar occlusion

Back 18

tinnitus, vertigo, darkened or blurred vision, diplopia, ptosis, dysphagia, weakness or numbness

Front 19

Effects of stroke on rt brain

Back 19

Left hemiplegia, sptial-perceptual deficits, denies or minimizes problems, short attention span, impaired judgement, impulsive with safety, impaired time concepts

Front 20

Effects of stroke on left brain

Back 20

Rt hemiplegia, impaired speech or aphasia, impaired ability to determine r from l, depressed, anxious, slow and cautious, unable to perform math

Front 21

What does FAST stand for?

Back 21

F - Face - does the face look uneven?
A - Arms - Ask person to raise both arms - Does one arm drift down?
S - Speech - Does their speeh sound strange? - Ask person to repeat a simle phrase for ex "The sky is blue"
T - Time - If you observe any of these signs, call 911

Front 22

What is the most significant therapy for reduction of CVA chance?

Back 22

Control of HTN

Front 23

What increases women's risk for CVA 5x?

Back 23

Smoking and birthcontrol

Front 24

Who is at highest risk for CVA?

Back 24

African Americans with HTN, especially men

Front 25

What sorts of pathological problems are associated with CVA's?

Back 25

CAD, DM, HTN, SCA, MI, Migraine

Front 26

Modifiable risk factors for CVA's

Back 26

Alcohol, smoking, obesity, high fat diet, drug abuse

Front 27

Symptoms of carotid occlusion

Back 27

Temp loss of vision, confusion, hemiparesis, aphasia

Front 28

Symptoms of vertebrobasilar occlusion

Back 28

tinnitus, vertigo, darkened or blurred vision, diplopia, ptosis, dysphagia, weakness or numbness

Front 29

Effects of stroke on rt brain

Back 29

Left hemiplegia, sptial-perceptual deficits, denies or minimizes problems, short attention span, impaired judgement, impulsive with safety, impaired time concepts

Front 30

Effects of stroke on left brain

Back 30

Rt hemiplegia, impaired speech or aphasia, impaired ability to determine r from l, depressed, anxious, slow and cautious, unable to perform math

Front 31

#1 priority with strokes

Back 31

Protect the airway

Front 32

To consider tPA administration...

Back 32

Stroke onset must have been within 3 hours, and CT does not show hemorrhage or nonstroke cause of deficit. Pt must be >18.

Front 33

Don't give tPA if...

Back 33

The pt has had surgery in the past 14 days, has BP >185/110, has PT >15 sec, glucose is not 50-400.

Front 34

WBC lab level

Back 34

4.5-10 (thousand)

Front 35

RBC lab level

Back 35

4-6 million

Front 36

Hgb lab level

Back 36

12-16

Front 37

Hct lab level

Back 37

M: 40-54%
F: 36-46%

Front 38

Platelaet lab level

Back 38

150-400

Front 39

PT lab level

Back 39

11-15 seconds

Front 40

APTT lab level

Back 40

25-40 seconds

Front 41

INR lab level

Back 41

Therapeutic is 2-3

Front 42

ESR lab level

Back 42

0-20 mm/hr

Front 43

Earliest indication of increasing ICP

Back 43

Altered LOC

Front 44

Late signs of increased ICP

Back 44

Increased systolic BP, widened pulse pressure, bradycardia, hyperthermia, bradypnea, abnormal posturing

Front 45

Med to avoid with ICP

Back 45

Morphine b/c we don't want hypoxia

Front 46

Does CO2 cause dilation or constriction?

Back 46

vasodilation

Front 47

Fluids with ICP?

Back 47

Limit to 1200ml/day

Front 48

What activities do you avoid with ICP?

Back 48

Coughing, sneezing, valsalva maneuver

Front 49

Positioning for ICP...

Back 49

HOB raised 30-40 degrees, avoid Trendelengurg position and prevent flexion of the neck and hips

Front 50

What kind of IV fluid do you avoid with ICP?

Back 50

Hypertonic

Front 51

Expressive aphasia means that the _______area of the brain was affected.

Back 51

Broca's

Front 52

Receptive aphasia means that the ________area of the brain was affected

Back 52

Wernicke's

Front 53

How long do you nasally suction with CVA's?

Back 53

No longer than 10 seconds to prevent ICP.

Front 54

Positioning of CVA pt during and after the stroke...

Back 54

During - recovery position
After - 2hrs on unaffected side, 20 min on affected, prone 30min tid if prescribed

Front 55

Position of CVA pt when eating...

Back 55

Sitting up with neck slightly flexed.

Front 56

How do you feed a CVA pt?

Back 56

Put food in back of mouth on unaffected side to prevent trapping of food in the affected cheek