Stroke

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Author:
hgienau
ID:
122689
Filename:
Stroke
Updated:
2011-12-11 12:58:00
Tags:
Med Cond Fall 2011
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Description:
hg
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  1. What are the Primary Risk Factors of Stroke
    • Hypertension
    • Heart Disease
    • Diabetes Mellitus
    • Smoking
    • TIA's
  2. What are the Secondary Risk Factors to Strokes
    • Obesity
    • High Cholesterol
    • Behaviors related to hypertension
    • Physical Inactivity
    • increase alcohol consumption
  3. What is a Ischemic Stroke?
    • Loss of perfusion to a portions of the brain
    • 85-90%
    • Embolus - 20%
    • Thrombus 80%
  4. What is a Hemorrhagic Stroke?
    • Abnormal Bleeding into the brain
    • 10-15%
    • More fragile
  5. How is a stroke diagnosed?
    • Neurologcial exam
    • blood and urine work
    • CT, MRI, PET, Carotid Doppler, Cerebral Angiography
  6. What is medical management for a Stroke?
    • Mangage BP and ICP
    • Anticoagulant meds
    • Posible neurosurgery
  7. What are signs of left hemiplegia?
    • Visual perception problems, neglect
    • Impulsive
    • Decreased Problem solving
    • Often unaware of impairments
    • Rigid Thinking - safety risk
  8. What are signs of right hemiplegia?
    • Speech and language problems
    • Decreased planning, sequencing
    • Very aware of impairments and anxious
    • Slow and cautious
    • Difficulty processing verbal cues
  9. What are Impairments fo a Brainstem Lesion?
    • Unstable vital signs
    • Decreased consciousness
    • Decreased ability to swallow
    • Weakness of both sides of the body
    • Paralysis on both sides of the body
  10. What are impairments of a Cerebellum lesion?
    • Decreased balance
    • Ataxia
    • Decreased coordination
    • Nausea
    • Decreased ability for postural adjustment
    • Nystagmus
  11. Secdondary Impairments/Complictions
    • Contractures, Decubitus Ulcers
    • DVT
    • Cardiac Arhythmias
    • Limitied pulmonary capacity/ pneumondia
    • orthostatic hypotension
    • Depression
    • RSD, CRPS
  12. Common Gait Deviations with a Stroke
    • Hip - protraction, trendelenberg, hip hiking, circumduction during gait
    • Knee- buckling or hyperextension during stance
    • Ankle - Foot drag, increase tone = PF and IV
  13. Ways to decrease tone
    Ice packs, estime or vibrations to antogonist, air splints, weight bearing

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