Sudden loss of neurologic function (speech, movement, or sensation).
How long are the symptoms of a stroke?
24 hours or longer.
The cause is?
a destruction of region of the brain due to an interruption in blood flow to a protion of the brain.
one of the cerebral ARTERIES ARE BLOCKED by thrombus, (blood clot).
one of the cerebral arteries is blocked by a clot FLOATING in the blood stream and that becomes wedged in a cerebral artery.
BLEEDING into the brian tissue caused by rupture of a cerebral artery.
Transient Ischemic Attacks
(TIAS) Happens before the real stroke. Little strokes
In the monts leading to a CVA a patient may suffer a series of these.
How will the patient feel in between TIAs?
Hypertension diabetes ****cardic enlargement-steroids High cholesterol levels ****Oral contraceptives- Birth Control pills. Cigarette smoking.
Medical History. Always take Blood Pressure. ask History of storke? ask History of High BP?
BP of 160/100
No dental treatment that day.
No treatment of any kind. patient can't do anything.
Patient can't walk up the stairs
Patient breaths very heavy while walking up the stairs
The patient can run up the stairs
How long after a CVA before treatment?
At leat 6 MONTHS after CVA.
Face flushed pounding pulse if a gradual onset-mild headache if a sudden onset- SEVERE headache dizziness vomiting sweating neuologic symptoms loss of consciousness
When the patient is suffering from the stroke can they understand you?
Yes, never assume they can't. Talk to them about what you are doing and comfort them.
droopy face before or after. paralysis on one side of the body. Left or Right Inablility to speak or slurring of speech* pupils are unequal in size loss of bladder control difficulty in breathing and swallowing
Consult their medical Dr.
Fake Blood clots
Oxycel, Surgicel, Gelfoam
chemically modified forms of surgical gauze used in pressure packs avaliable from surgical suppliers as oxidized cellulose.
Oxidized regenerated cellulose.
absorbable gelatin sponge
What should the report to their medical Dr. include?
Prothrombin time only 2x normal ***Patients White Blood Cell count.
Why is the patients white blood cell count included in the report?
because it determines if the patient is at risk for infection or inadequate wound healing.