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32 Cards in this Set
- Front
- Back
Cerebrovascular accident
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interruption of blood flow to brain
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Cerebrovascular accident are also called....
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- Stroke
- CVA - Brain attack |
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F.A.S.T.
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- Face: face look uneven?
- Arm: One arm hanging down? - Speech: Slurred Speech - Time: CALL 911 |
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In accordance to demise, CVA's are the.....
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3rd largest cause of death
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Ischemic (type of CVA)
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blockages
- tissue dies from blood loss - edema present in surrounding area -circulation to area of brain is blocked |
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This type of CVA is most common...
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Ischemic
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Thrombotic (ischemic)
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blockage in the brain
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Embolic (ischemic)
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travels to the brain
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Lacunar (ischemic)
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makes holes and affects motor skills
-least common |
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Hemorrhagic (type of CVA)
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rupture in blood vessel or aneurysm leaking to the brain
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Intracerebral hemorrhage
(Hemorrhagic) |
rupture in brain and sudden
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Subarachnoid hemorrhage
(Hemorrhagic) |
leaking of blood outside of brain
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Hemorrhagic strokes are more common in....
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younger males
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What type of CVA has a higher recovery rate and higher fatality rate?
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Hemorrhagic
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Hemorrhagic strokes have higher recovery rate because...
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it happens to younger people more often and there is usually no tissue damage
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CVA Factors Part 1:
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Part 1- Ethnicity: higher for African Americans
- Age: higher with age esp. over 65 - Heredity: inc. w/ dx. in paternal line - Obesity, Hypertension, Sleep Apnea -Smoking doubles risk |
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CVA Factors Part 2:
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Part 2: TIA's: esp. after 1st month
- Geography: higher in Southeast US - Oral Contraceptive - High Cholestrol (hyperlipidemia) - Diabetes: 2 to 3x's higher risk |
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CVA Factors Part 3:
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Part 3: Heart murmmur
- Prior stroke: inc by 4 to 8x's - Heart disease -Infections or inflammation -Alcohol or Drug use |
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Transient Ischemic Attack
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- temporary blockage of blood supply to the brain
- MINI STROKE or TIA - Risk highest 30 days after TIA - rapid onset of symptoms |
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Dead tissue.....
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can not be repaired
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Neuroplasticity
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- brain finds another path to supply brain function
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90% of brain recovery occurs in.....
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first 3 months
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When administering therapy for stroke patient always work from....
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Proximal to distal part of the body
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Course and prognosis all depends on....
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the location and severity of tissue damage
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Left sided CVA
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- controls R side of body
- Damage cause hemiplegia & impaired sensations of R face, trunk, arm, leg - Aphasia and Dysarthria - Cautious personality and Short MEMORY LOSS |
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Dysarthria
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loss of muscle control of lips, mouth and vocal cords
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Aphasia
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Speech difficulty or can't speak
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Right sided CVA
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- controls L side of body
- Damage cause hemiplegia & impaired sensations of L face, trunk, arm, leg - Unilateral neglect of left side and impulsive behaviors, judgment errors and quick movements - Homonymous hemianopsia (visual field) -Dressing apraxia - confused on how to put on clothes |
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Wallenberg's Syndrome
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Brainstem stroke
- least common type - usually fatal and no significant muscle weakness - if survived recovery is good - pain and and temperature loss most common |
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Wallenberg's syndrome usually results in a....
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coma
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Treatment for CVA
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- aspirin
- antigcoagulants - Ot - PA: must be given within 3 hours of infarct |
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CVA affects the following performance areas:
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- Motor functions
- Mental functions - Emotional functions |