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Terms in this set (21)
Who said, "Now everybody
Have you heard
If you're in the game
Then the stroke's the word?"
Hemorrhagic or ischemic stroke is more common?
Which type of stroke is most lethal?
What is the difference in TIA/mini-stroke and ischemic stroke?
TIA usually resolves within 24 hours and ischemic lasts longer
What is a major drug that we are going to give stroke patients to prevent reoccurrence?
statins....don't want their arteries to be crap
What arteries are the most common for stroke causes?
carotid and cerebral
modifiable risk factors for stroke
Non modifiable risk factors
Men (women more likely to die)
Race- AA, PI, Hispan.
What is FAST?
"Worst headache of my life" usually means its a ______ stroke
but could be either
Usually have weakness, vision loss with a stroke. Why?
hemorrhagic---pressure on the nerves
ischemic- nothing getting to the nerves
Why is time important?
so you can administer the tPA
When we examine time, we need to know the last time the patient was "____"
Strokes can occur while sleeping, which makes estimating the time they were last normal easy.
you don't know when it happened while you were sleeping
1st step in diagnosis
why is CT scanner 1st step
ischemic vs hemorrhagic
lets us know how they need to be treated
Why do we check blood glucose?
hypoglycemia can cause confusion and stroke like symptoms
Why get an EKG?
see if they are in a-fib or something that could lead to an ischemic clot.
Ischemic stroke: goals
1. bust the clot
2. keep the brain perfused*
3. make sure nothing else happens during acute tx
4. make sure it doesn't happen again
What is permissive hypertension
let the HTN happen or have it on the higher end....cuz they can't blood through the brain through the blocked artery....so we need to use some of the other arteries to get it there
Ischemic stroke: pharmacologic interventions
aspirin within 48 hours
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