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12 Cards in this Set
- Front
- Back
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Ischemic CVA def. |
*Critical Care Dx *Major DDx for weakness/numbness
Blockage of the arteries supplying blood to the brain resulting in permanent brain damage
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Ischemic CVA CC |
Unilateral focal neurological deficits: one-sided weakness/numbness or changes in speech/vision |
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Ischemic CVA risk factors |
HTN, HLD, DM, hx TIA/CVA, smoking, FHx CVA, AFib |
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Ischemic CVA PE |
Neurological deficits: hemiparesis (one sided weakness), unilateral paresthesias(one sided tingling), aphasia(changes in speech), visual field deficits |
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Ischemic CVA Dx by |
clinically, potentially normal CT Head |
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Ischemic CVA Alert |
-ALWAYS document the date and time they were "last known well" (at baseline) as well as the source of this info--> used to assess eligibility for tPA (blood thinner that reverses CVA) -document tPA considered and not indicated due to: onset greater than 3 hrs or unknown/unreliable time of onset; Sx are rapidly moving
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Hemorrhagic CVA def. |
*Critical Care Dx *Major DDx for HA
Brain Bleed. Traumatic or spontaneous rupture of blood vessels in the head leads to bleeding in the brain |
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Hemorrhagic CVA CC |
HA -sudden onset (Thunderclap, Worst of Life) |
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Hemorrhagic CVA Assoc Sx |
Changes in speech, vision, sensation (numbness), or motor strength (weakness), AMS, Sz |
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Hemorrhagic CVA PE |
Unilateral neurological deficits |
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Hemorrhagic CVA Dx by |
CT Head or LP |
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Hemorrhagic CVA Alert |
Document "tPA not indicated due to hemorrhage" |
