Stroke/CVA

A set of flas hcards f

162 cards   |   Total Attempts: 184
  

Cards In This Set

Front Back
Explain the term stroke.
Sudden loss of neurological function caused by an interruption of the blood flow to the brain.
Explain the term CVA.
(cerebrovascular accident)
is used interchangebly with stroke to refer to the vascular conditions of the brain.
Focal deficits that are seen clinically post-stroke
Changes in the level of consciousness and impairments of sensory, motor, cognitive, perceptual, and language functions
Length of time neurological deficts must persist to be classified a stroke
At least 24 hours
Factos that determine the severity/symptomology of neurological deficits post-stroke
Location and extent of brain injury, amount of collateral blood flow, and early acute care management.
Are deficits always permanent?
No. deficits may subside spontaneously after swelling goes down in the brain.
Determine significance of collateral circulation
If there is collateral blood flow, then that means there will be less damage during a stroke because the blood can still flow when a major artery is blocked meaning less tissue death.
Significance of having reversible ischemic neurological deficit
That means the deficits subside when swelling has gone down meaning no permanent damage is left from the stroke.
Time frame in determining whether deficits may be permanent.
If the deficits last longer than 3 weeks.
Compare 2 main mechanisms resulting in stroke
1) thrombus and embolus blocks blood flow to the brain resulting in tissue death; 2) hemorrhage occurs when blood vessels erupt resulting in leakage of blood around the brain.
Which causes highest % of CVA's
Ischemic attack (thrombus/embolus) 80%
Which causes highest number of deaths
Hemorrhage because the pressure rises too rapidly to fix the problem
Characteristics of atherosclerosis
Plaque formation with an accumulation of lipids, firbrin, complex carbohydrates, and calcium deposits on arterial walls that leads to progressive narrowing of blood vessels.
Specific places in arterial vessels where atherosclerotic plaques tend to occur
Bifucations, constrictions, dilation, or angulations of arteries
Most common sites for lesions to occur (which part/which artery)
Common carotid artery or at its transition into the middle cerebral artery, at the main bifucation of the middle cerebral artery, and at the junction of the vertebral arteries with the basilar artery.