CVA

Card Set Information

Author:
cali-amber
ID:
94269
Filename:
CVA
Updated:
2011-07-17 00:08:45
Tags:
clin path
Folders:

Description:
clin path 5
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user cali-amber on FreezingBlue Flashcards. What would you like to do?


  1. Stroke
    • focal neuro deficits that persist at least 24 hours
    • acute onset: may be seconds or hours
  2. TIA
    • focal symptoms; complete recovery within 24 hours (often 5-20 min)
    • *1/3 likely to have stroke within 5 yrs
  3. Risk factors for CVA, modifiable
    • *hypertension #1
    • diabetes
    • heart disease
    • high cholesterol
    • smoking
    • heavy alcohol consumption
    • drug use
    • obesity
    • high plasma homocysteine levels, low folate and B6
  4. Risk factors for CVA, not modifiable
    • age (over 65)
    • race (AA)
    • sex (men)
    • family history
    • prior stroke, TIA, MI
  5. warning signs of stroke
    • sudden weakness or numbness face/arm/leg
    • sudden confusion
    • sudden dimness or loss of vision esp in 1 eye
    • dizziness, sudden falls
    • sudden severe headaches
  6. ischemic stroke
    • blockage (thrombosis) develops slowly over time
    • or embolus is rapid onset, no warning
    • cardiac or non-cardiac, travels to brain
  7. presentation for ischemic stroke
    • weakness, numbness
    • visual field changes
    • garbled speech
    • dizziness, unsteadiness
    • headaches
  8. medical treatment for ischemic
    • normalize BP
    • break down fibrin
    • hemicraniectomy
    • anticoagulation therapy/antiplatelet
  9. Prognosis for ischemic
    • greatest recovery in first few weeks
    • may recover 12-18 months
    • can have continued improvements many years after CVA
  10. hemorrhagic stroke
    • bleeding from artery in brain
    • much poorer prognosis than ischemic
    • primary (spontaneous) vs secondary (trauma, impaired coagulation)
    • change in vessel wall or inc in BP
  11. presentation for hemorrhagic
    • more variable than ischemic
    • headache
    • may have vomiting at onset
    • more likely when active vs sleeping
  12. medical treatment for hemorrhagic
    • decrease edema and ICP
    • reduce BP
    • surgical decompression
  13. prognosis for hemorrhagic
    • high mortality
    • functional recovery for those who survive
  14. ideomotor apraxia
    movement may occur spontaneously, but can't be performed on command
  15. ideational apraxia
    puposeful movement not possible spontaneously or on command
  16. conceptual apraxia
    unable to appropriately use objects
  17. stroke flaccidity vs spasticity
    • flaccidity in acute stages
    • spasticity emerges over time
  18. Assessments/outcome measures for stroke rehab
    • 6 min walk test (endurance)
    • 10 m walk (gait velocity)
    • berg balance
    • dynamic gait
    • functional reach test
  19. PT intervention for chronic CVA
    • postural control
    • spatial awareness
    • functional training
    • assistive devices and orthoses
    • strength training

What would you like to do?

Home > Flashcards > Print Preview