Prepare to soar through the Stroke Certified Registered Nurse (SCRN) exam with confidence using our all-inclusive Q&A bundle. Crafted by nursing experts, this bundle arms you with the knowledge and expertise necessary to ace the SCRN exam and advance your career in stroke care.
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NIHSS Score > 15 is associated with? Patient at greater risk of death from stroke Examples of items not scored on NIHSS which could represent a clinically significant posterior circulation stroke Diplopia, dysphagia, gait instability, hearing, nystagmus Hunt and Hess grading system Used for...
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Add to cartNIHSS Score > 15 is associated with? Patient at greater risk of death from stroke Examples of items not scored on NIHSS which could represent a clinically significant posterior circulation stroke Diplopia, dysphagia, gait instability, hearing, nystagmus Hunt and Hess grading system Used for...
Penumbra Salvageable tissue -oxygen -blood pressure -Glucose Perfusion What oxygen delivers to the brain. Above the necklace-Anterior Circulation= Unilateral deficits Below the necklace-Posterior circulation= Bilateral deficits Circle of Willis-Collateral circulation= Aneurysm Cere...
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Add to cartPenumbra Salvageable tissue -oxygen -blood pressure -Glucose Perfusion What oxygen delivers to the brain. Above the necklace-Anterior Circulation= Unilateral deficits Below the necklace-Posterior circulation= Bilateral deficits Circle of Willis-Collateral circulation= Aneurysm Cere...
Medications used for smoking cessation Bupropion (zyban) Varenicline (Chantix) What medications are used to maintain the blood pressure parameter < 185/110 prior to tPA administration? 1) Labetalol 10-20mg IV over 1-2 minutes 2) Nicardipine 5mg/hr IV, titrate up by 2.5mg/hr to max of 15mg/h...
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Add to cartMedications used for smoking cessation Bupropion (zyban) Varenicline (Chantix) What medications are used to maintain the blood pressure parameter < 185/110 prior to tPA administration? 1) Labetalol 10-20mg IV over 1-2 minutes 2) Nicardipine 5mg/hr IV, titrate up by 2.5mg/hr to max of 15mg/h...
Where do the venous sinuses drain into? Dural sinuses What is the cerebral cortex composed of? Neuronal cell bodies What has an IV Bolus of 23.4% Saline been found to reduce? ICP & augment CPP in patients with resistant increase in ICP What are women with a history of migraines more at risk...
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Add to cartWhere do the venous sinuses drain into? Dural sinuses What is the cerebral cortex composed of? Neuronal cell bodies What has an IV Bolus of 23.4% Saline been found to reduce? ICP & augment CPP in patients with resistant increase in ICP What are women with a history of migraines more at risk...
thrombotic thrombus or obstruction of a blood vessel by a blood clot forming locally Embolic obstruction due to an embolus from somewhere else in the body what is the number 1 risk factor for lacunar infarcts HTN Cryptogenic strokes strokes confirmed by imaging and have no source found; don...
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Add to cartthrombotic thrombus or obstruction of a blood vessel by a blood clot forming locally Embolic obstruction due to an embolus from somewhere else in the body what is the number 1 risk factor for lacunar infarcts HTN Cryptogenic strokes strokes confirmed by imaging and have no source found; don...
What percentage of the body's oxygen supply and cardiac output does the brain use? The brain uses 20% of the body's oxygen suppy and 15% of the body's cardiac output. *brain cells do not store oxygen or glucose. The need a constant suppy of micronutrients from arterial blood. What is the norm...
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Add to cartWhat percentage of the body's oxygen supply and cardiac output does the brain use? The brain uses 20% of the body's oxygen suppy and 15% of the body's cardiac output. *brain cells do not store oxygen or glucose. The need a constant suppy of micronutrients from arterial blood. What is the norm...
What was the role of the Brain Attack Coalition (BAC) in stroke care? Founded by 17 neurosurgeons in 1991, they established standardized stroke care criteria based on evidence based practice Which organization provides criteria for a healthcare facility to become a primary stroke center? The Brai...
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Add to cartWhat was the role of the Brain Attack Coalition (BAC) in stroke care? Founded by 17 neurosurgeons in 1991, they established standardized stroke care criteria based on evidence based practice Which organization provides criteria for a healthcare facility to become a primary stroke center? The Brai...
Stroke Risk Factors Age Gender (men >women) Genetics Stroke Primary Prevention Tobacco cessation Blood pressure reduction Stroke Secondary Prevention Prevention of another stroke Targets treatment for change once disease is present i.e. Blood Pressure control, LDL control, recognition o...
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Add to cartStroke Risk Factors Age Gender (men >women) Genetics Stroke Primary Prevention Tobacco cessation Blood pressure reduction Stroke Secondary Prevention Prevention of another stroke Targets treatment for change once disease is present i.e. Blood Pressure control, LDL control, recognition o...
Neuro deterioration occurs when? 24-48 H after a stroke in 25 % of cases Most common complications within first 4 days of stroke Pain Fever Progression of stroke UTI Most ICH occur when with administration of IV TPA first 24 hours Temperature goal < 100.4 F Glucose goal 140-180 ...
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Add to cartNeuro deterioration occurs when? 24-48 H after a stroke in 25 % of cases Most common complications within first 4 days of stroke Pain Fever Progression of stroke UTI Most ICH occur when with administration of IV TPA first 24 hours Temperature goal < 100.4 F Glucose goal 140-180 ...
maintain CPP and ICP. low high? 60-70. ICP<20. CPP <60 hypo perfusion. CPP >70 = risk for rebreeding. contraindicated to perform an LP to eval presence of blood in a pt with an SAH ? why increased ICP . Increased ICP can result in central herniation following an LP d/t high pressure in t...
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Add to cartmaintain CPP and ICP. low high? 60-70. ICP<20. CPP <60 hypo perfusion. CPP >70 = risk for rebreeding. contraindicated to perform an LP to eval presence of blood in a pt with an SAH ? why increased ICP . Increased ICP can result in central herniation following an LP d/t high pressure in t...
anoxia total depletion in the level of O2 although there is adequate blood flow hypoxia decrease in O2 levels despite adequate blood flow necrotic pathway cell energy failure and rapid cytoskeletal breakdown apoptotic pathway programmed cell death primary brain injury An injury to the br...
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Add to cartanoxia total depletion in the level of O2 although there is adequate blood flow hypoxia decrease in O2 levels despite adequate blood flow necrotic pathway cell energy failure and rapid cytoskeletal breakdown apoptotic pathway programmed cell death primary brain injury An injury to the br...
drug classes fibrinolytic antifibrinolytic anticoagulant antiplatelet -statins antihypertensives hypertensives diuretics anti epileptics fibrinolytics clot buster, breaks down existing clots rtPA: recombinant tissue plasminogen activator - MOA: activates plasmin, breaks down clot -...
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Add to cartdrug classes fibrinolytic antifibrinolytic anticoagulant antiplatelet -statins antihypertensives hypertensives diuretics anti epileptics fibrinolytics clot buster, breaks down existing clots rtPA: recombinant tissue plasminogen activator - MOA: activates plasmin, breaks down clot -...
How many cranial nerves are there? 12 pairs How many spinal nerves are there? 31 pairs Penumbra Area of ischemic brain tissue that is potentially reversible What are the two types of hemorrhagic stroke? intracerebral hemorrhage and subarachnoid hemorrhage What are some causes of intracer...
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Add to cartHow many cranial nerves are there? 12 pairs How many spinal nerves are there? 31 pairs Penumbra Area of ischemic brain tissue that is potentially reversible What are the two types of hemorrhagic stroke? intracerebral hemorrhage and subarachnoid hemorrhage What are some causes of intracer...
A patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal carotid a...
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Add to cartA patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal carotid a...
BARTHEL INDEX Barthel Index • This evaluation is a measure of functional ability to manage ADL's and degree of help needed. - Feeding - Bathing - Grooming - Dressing -Bowel -Bladder -Toileting -Transfers -Stairs - Mobility • Mahoney FI, Barthel D. "Functional evaluation: the Barthel Ind...
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Add to cartBARTHEL INDEX Barthel Index • This evaluation is a measure of functional ability to manage ADL's and degree of help needed. - Feeding - Bathing - Grooming - Dressing -Bowel -Bladder -Toileting -Transfers -Stairs - Mobility • Mahoney FI, Barthel D. "Functional evaluation: the Barthel Ind...
Function of the Frontal Lobe "EXECUTIVE" functions reasoning, emotions, judgement, voluntary movement planning and initiation, personality expression and moderation of social functions Broca's area is in this lobe (production of speech) Function of the Parietal Lobe "SENSES" Processes s...
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Add to cartFunction of the Frontal Lobe "EXECUTIVE" functions reasoning, emotions, judgement, voluntary movement planning and initiation, personality expression and moderation of social functions Broca's area is in this lobe (production of speech) Function of the Parietal Lobe "SENSES" Processes s...
Communicate effectively with pre-hospital personnel. When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be emphasized in the community. The greatest time delay is from symptom onset to ED arrival. EMS alerts the hospital, advance notificatio...
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Add to cartCommunicate effectively with pre-hospital personnel. When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be emphasized in the community. The greatest time delay is from symptom onset to ED arrival. EMS alerts the hospital, advance notificatio...
cerebral cortex gray matter on the outermost section of the cerebrum and cerebellum composed of neuronal cell bodies Four lobes of the cerebral cortex and cerebrum Frontal Parietal Temporal Occipital Oxygen supplemental need > 93% BP goal post tPA <180/105 Vast majority of fat...
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Add to cartcerebral cortex gray matter on the outermost section of the cerebrum and cerebellum composed of neuronal cell bodies Four lobes of the cerebral cortex and cerebrum Frontal Parietal Temporal Occipital Oxygen supplemental need > 93% BP goal post tPA <180/105 Vast majority of fat...
A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negativ...
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Add to cartA 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negativ...
Posterior Cerebral Artery (PCA) Arises from basilar. Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid Plexus, and Corpus Callosum Symptoms of PCA Stroke -Contralateral Visual Field Homonymous hemianopia -Visual Agnosia (unable to interpret/recognize visual information) - Webe...
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Add to cartPosterior Cerebral Artery (PCA) Arises from basilar. Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid Plexus, and Corpus Callosum Symptoms of PCA Stroke -Contralateral Visual Field Homonymous hemianopia -Visual Agnosia (unable to interpret/recognize visual information) - Webe...
A person with a stroke who seems unaware of their disability: anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? Brainstem Watershed stroke is described as: Stroke b...
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Add to cartA person with a stroke who seems unaware of their disability: anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? Brainstem Watershed stroke is described as: Stroke b...
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