44% increase in stroke incidence - correct answer-people ages 25 to 44 y/o
may be due to the rise of type 2 DM, HLD, and obesity
cigarette smoking, alcohol use, and illicit drug use
7 D's of stroke chain of survival - correct answer-Detection
Dispatch
Delivery
Door
Data
Decision
Drug
ABCD2 score - correct answer-predicts short term risk of stroke in TIA patients
age, blood pressure, clinical features, duration of symptoms, diabetes
AC resumption time after intracerebral hemorrhage - correct answer-held at least for 1 week
Acute care management - correct answer-continue to monitor neurological status
begin early mobilization of patient
close observation during transition sitting to standing
after 24 hours - correct answer-can restart antihypertensives
age group of people who get hypercoaguable state workups after large vessel ischemic
strokes - correct answer-young people
especially those negative for cardiac abnormalities
AHA guidelines for physical activity to reduce stroke risk - correct answer-moderate to
vigorous activity 3-4 times a week for 40 minutes each
,AHA stroke systems of care - correct answer-involves key elements of care across the
continuum, based on the standards related to stroke center certification, prehospital
collaboration, and rehab care
does not dictate specifics such as NIHSS certification for nursing staff
alternative to head CT when diagnosing a SAH - correct answer-lumbar puncture
provides evidence of CSF properties
amygdala: limbic system - correct answer-plays a crucial role in the management of stress,
rage, and anxiety
center for memory and emotions
amyloid angiopathy - correct answer-a condition in which there is an accumulation of
abnormal proteins (amyloid) in the small cerebral arteries
this accumulation weakens vessel walls leading to ICH
frequently associated with alzheimer's disease
***declining memory prior to occurrence is key
arachnoid mater - correct answer-middle layer of the meninges
arterial tear - correct answer-an uncommon but serious complication of angio
bleeding into the retroperitoneal area
produces symptoms of back and abdominal pain
arteriovenous malformation - correct answer-direct connection between arteries and veins
rather than the usual route of arteries to arterioles to capillaries to venues to veins
veins are likely to rupture under pressure because they do not have muscular walls like
arteries do
Barthel Index
the higher the score (100 is best), the more independent the patient is - correct answer-used
to measure performance in specific ADLs
basal ganglia - correct answer-coordinating center for several nerve tracts including
coordinating muscle movement
benchmarking - correct answer-valuable tool in driving performance improvement in
hospitals
seeking out best practices and building performance improvement goals to attain them
comparing your current internal performance data against past performance data, or
comparison among nursing units
comparing rates of asp pna with those of stroke centers in your region
, benefits of having a stroke unit where the majority of stroke patients are cared for - correct
answer-reduced in-hospital mortality
reduced length of stay
increased discharges to home
BG strokes - correct answer-lacunar strokes --> pure sensory or pure motor
Binswanger's disease - correct answer-condition of insufficient blood supply to the
subcortical tissue
Birth Control + Smoking= - correct answer-high risk for blood clots
more dangerous than smoking + drinking
blood brain barrier role in ischemic stroke - correct answer-protects against influx of
inflammatory cells
when disrupted, this protective mechanism may be incapacitated, resulting in edema and
possible hemorrhagic transformation
blood pressure goals if they did not receive tPA - correct answer-systolic < 220
diastolic < 120
** do not want to bring BP down fast d/t risk for hypotension
BP goal post tPA - correct answer-<180/105
BP if they did not receive TPA - correct answer-220/120
Brain attack coalition (BAC) - correct answer-published the recommendations for
establishment of primary stroke centers in 2001
inspired by the improved patient outcomes seen with trauma guidelines
brain conditions under hyperthermia - correct answer-metabolic needs increase as individual
cells attempt to maintain ionic balance
carotid dissection - correct answer-the tearing of the intima of the carotid artery
tiny clots form along the torn, rough edges of the tear
as they break off and migrate up to the brain, multiple tiny infarcts can occur, and because
each carotid supplies only one side of the brain, dissection would result in infarcts only on
one side
carotid endarterectomy - correct answer-prevention measure
does not fix the stroke symptoms, prevents another stroke from occurring
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