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MS2: Quiz 9 ch 22 + notes
Terms in this set (37)
Which side of the body does the left hemisphere of the brain control?
Right side of the body
Modifiable factors of stroke
Pathologic disorders: Hypertension, Cardiac disease, DM (All of these cause atherosclerosis)
Lifestyle: Drinking, Smoking, Obesity, High fat diet, Drug abuse, Sedentary lifestyle, Stress
(Cocaine can cause vasoconstriction causing bleeding in brain, dramatically and quickly changes B/P sudden or gradual narrowing of blood vessels in brain)
Non-Modifiable factors of stroke
S/S of Transient Ischemic Attack
Tinnitus (ringing in the ear)
Ptosis (drooping eye)
Dysarthria (slurred speech)
Dysphasia (difficulty swallowing)
Is TIA permanent?
Will resolve without permanent effect within 24 hrs.
Why would you listen for bruit over the carotid artery?
After seeing the S/S of a TIA you could confirm TIA via listening for bruit
Would reveal that artery is partially obstructed with atherosclerotic plague
What is the action of warfarin (Coumadin)?
Prevent formation of new clots
Why would a lumbar puncture be done for a stroke patient?
To determine if stroke is hemorrhagic or embolic
Why is it important to know if it is a hemorrhagic or embolic stroke?
Anti-coagulants are contraindicated after a hemorrhagic stroke
A lumbar puncture is not done when what is suspected?
Intracranial Pressure (ICP)
What is the immediate focus during acute phase of stroke?
Oxygenation is priority treatment following a stroke
Brain death in 4 minutes
What will you say to a patient with hyperglycemia getting insulin when they never had DM and are wondering why?
Stress can cause hyperglycemia as well
Due to Nimodipine (Nimotop) being a calcium Channel Blocker, it is used to prevent spasms in cerebral blood vessels, what are the side effects and what will you monitor for?
Pulse (if 72 bpm give them the full dose, only hold if <60)
If patient is at risk for airway obstruction r/t being unconscious, what will be nursing intervention?
Put them on their side so the tongue doesn't go towards back of throat
If patient is at risk for falls r/t spatial deficit or weakness, what will be nursing intervention?
Keep side rails up according to agency policy
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