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32 Cards in this Set

  • Front
  • Back
Cerebrovascular accident
interruption of blood flow to brain
Cerebrovascular accident are also called....
- Stroke
- CVA
- Brain attack
F.A.S.T.
- Face: face look uneven?
- Arm: One arm hanging down?
- Speech: Slurred Speech
- Time: CALL 911
In accordance to demise, CVA's are the.....
3rd largest cause of death
Ischemic (type of CVA)
blockages
- tissue dies from blood loss
- edema present in surrounding area
-circulation to area of brain is blocked
This type of CVA is most common...
Ischemic
Thrombotic (ischemic)
blockage in the brain
Embolic (ischemic)
travels to the brain
Lacunar (ischemic)
makes holes and affects motor skills
-least common
Hemorrhagic (type of CVA)
rupture in blood vessel or aneurysm leaking to the brain
Intracerebral hemorrhage
(Hemorrhagic)
rupture in brain and sudden
Subarachnoid hemorrhage
(Hemorrhagic)
leaking of blood outside of brain
Hemorrhagic strokes are more common in....
younger males
What type of CVA has a higher recovery rate and higher fatality rate?
Hemorrhagic
Hemorrhagic strokes have higher recovery rate because...
it happens to younger people more often and there is usually no tissue damage
CVA Factors Part 1:
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
CVA Factors Part 2:
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
CVA Factors Part 3:
Part 3: Heart murmmur
- Prior stroke: inc by 4 to 8x's
- Heart disease
-Infections or inflammation
-Alcohol or Drug use
Transient Ischemic Attack
- temporary blockage of blood supply to the brain
- MINI STROKE or TIA
- Risk highest 30 days after TIA
- rapid onset of symptoms
Dead tissue.....
can not be repaired
Neuroplasticity
- brain finds another path to supply brain function
90% of brain recovery occurs in.....
first 3 months
When administering therapy for stroke patient always work from....
Proximal to distal part of the body
Course and prognosis all depends on....
the location and severity of tissue damage
Left sided CVA
- 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
Dysarthria
loss of muscle control of lips, mouth and vocal cords
Aphasia
Speech difficulty or can't speak
Right sided CVA
- 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
Wallenberg's Syndrome
Brainstem stroke
- least common type
- usually fatal and no significant muscle weakness
- if survived recovery is good
- pain and and temperature loss most common
Wallenberg's syndrome usually results in a....
coma
Treatment for CVA
- aspirin
- antigcoagulants
- Ot - PA: must be given within 3 hours of infarct
CVA affects the following performance areas:
- Motor functions
- Mental functions
- Emotional functions