Exam 5 content part I
Card Set Information
Exam 5 content part I
Cerebral Vascular & Spinal Disorders
What is the most popular type of stroke in todays population?
This type of stroke is often a warning sign for an ischemic or thrombotic stroke?
This type of stroke is caused by a blockage from a clot or stenosis of a vessel from plaque buildup?
This is a "large vessel" Stroke?
This is a stroke caused by a large occlusion of a large cerebral vessel by a blood clot?
This stroke is also known as a "mini stroke"?
Transient Ischemic Stroke
This is a breif period of localized cerebral ischemia that cause neuro deficits lasting about 1 hr or less than 24hrs?
Transient Ischemic Stroke
This is a cardiogenic stroke, usually caused by a clot from A-fib, ventricular thrombi, an MI, etc...?
This is "intracranial hemorrhage", occurs when cerebral blood vessels rupture?
This is when a loss of the visual field in one or both eyes?
This is the inability to recognize one or more subjects that were preveously familiar, may be visual, tactile, or auditory?
This is the innability to carry out some motor patterns, even if strength & coordination are adequate (ex. drawing a figure or getting dressed)?
This is also known as Broca's Aphasia?
This is also known as Wernick's Aphasia?
This is involved with motor speech, the ability to understand what is being said, but can only respond back in very short phrases?
This is involved with sensory speech, when one cannot understand the spoken and sometimes written words, but may be fluent themselves talking, but with innapropriate content?
This is paralysis of left or right half of the body?
This is weakness of the left or right side?
What is the " Give me 5 for stroke"?
To evaluate a persons walk, talk, reach, vision & feel
Act _____ to detect stroke symptoms?
F= Face (does it droop when they smile)
A= Arm (does one drift down when held out)
S= Speech (is speech slurred when they repeat simple sentence)
T= Time (call 911 if any symptoms are present)
This is the most common cause of lower back pain?
Slipped or Herniated disk
This is a rupture of the cartilage surrounding the intervertibral disk with protrusion of nucleus pulposus?
Herniated or slipped disk
What is NEVER given to a hemorrhagic stroke patient?
What is a stroke caused from?
A sudden decrease of bloodflow to the brain
What are some unmodifiable risk factors for Stroke?
Age, Gender, Race, Heredity
Are males or females more likely to have a stroke? And why?
Females / Because of Hormones
What race is more likely to have a stroke at a young age?
What race is more likely to have a stroke?
Anticoagulant therapy can NOT be used for this type of stroke? (Coumadin, Heparin, Lovenox)
This is the most fatal type of stroke?
Describe Ischemic Stroke?
-87% of all strokes
- Cause by:
Describe TIA Stroke?
-known as "mini stroke"
- Duration is <1hr, then return to normal
- No central infarct -penumbra only
What happens during a hemorrhagic stroke?
Vessels Rupture - in the intracerebral & subarachnoid
Most fatal stroke
What is hemorrhagic strokes caused by?
HTN, Aneurysms, Trauma, Anticoagulant Therapy
If stroke on the left side, then you will have _____ deficit?
If stroke on the Right side, then you will have _____ deficit?
If on the left, then right side deficit
If on the right, then left side deficit
What labs should be monitored for stroke patients?
CBC, CMP, FSBS, Coags
To see a stroke through CT scan, do you do it with or without contrast?
CT scan without contrast
If a patient had an ischemic stroke, how long does it take to show on a CT scan?
6-8 hrs post stroke
If a patient had a hemorrhagic stroke, how long will does it take show on CT scan?
Immediatley following stroke
Do not give Coumadin, Heparin, or lovenox for a _____ stroke? But it is okay if _____ stroke?
Do not give - Hemorragic stroke
Is okay - Ischemic stroke
What type of therapy can be given if given within 3 hours of the onset of symptoms of a stroke?
Fibrinolytic Therapy/ tPa therapy
What Fibrinolytic Therapy is used for Ischemic strokes?
tPa- it resolves the clot
What are the requirements for tPa therapy after a stroke?
Must be given within 3 hrs of onset of symptoms of stroke
BP has to be <185 syt or <110 dia
Must be >18 yrs old
What surgical treatment if needed is done for stroke?
Craniotomy - to remove hematoma or vascular repair
Carotid Endarterectomy- prevent or restore blood flow
What is the function of the spinal cord?
To transmit stimuli to and from the brain
What is the spinal cord protected by?
When the nucleus core protrudes into _____ _____ its compressing the spinal nerve
What is the location of the lumbar area, that is commonfor lower back pain, and also caused pain in hip, gluteal, and thigh?
L4 or L5-S1
What is most common for lateral herniation or degeneration?
What procedure is a small incision in the back, to allow decrease trauma to the surrounding areas, while allowing for early ambulation?
What is it called when the nucleus is removed?
This is the removal of part of the vertibral bone called the lamina
Post op laminectomy, monitor LOC, and watch for _____, minimize stress on incision with a ______, assess for ____ leak?