NUR 211 Perfusion
1. ischemic stroke
Answer
lack of blood flow to the brain d/t blockage. accounts for 87% of strokes
2. hemorrhagic stroke
Answer
bad outcomes. rupture or open bleed that impacts the brain. accounts for 13% of strokes.
3. what is a stroke?
Answer
disruption in cerebral blood flow
4. risk factors for stroke
Answer
hypertension, atrial fibrillation, diabetes mellitus, sleep apnea, hypercholestermia, smoking,
sickle cell disease, substance abuse, living in stroke belt, family history, obesity, sedentary
lifestyle, recent infections, history of TIAs, oral contraceptives, pregnancy, childbirth,
menopause, migraines with aura, autoimmune disorders, clotting disorders, previous stroke
5. what is a hemorrhagic stroke caused by?
Answer
caused by bleeding into brain tissue, the ventricles, subarachnoid space
6. etiology and patho of hemorrhagic stroke
Answer
brain metabolism is disrupted by exposure to blood, ICP increases, increased ICP can lead to
hemorrhagic stroke but can also be the result of a hemorrhagic stroke. compression or secondary
ischemia from reduced perfusion and vasoconstriction causes injury to brain tissue.
7. manifestations of hemorrhagic stroke
Answer
similar to ischemic stroke, severe headache (main difference from ischemic stroke), early and
, sudden changes in LOC, vomiting
8. medical management of hemorrhagic stroke
Answer
control of hypertension, CT or MRI, cerebral angiography, lumbar puncture, low stimulation,
bed rest with sedation, oxygen, treat complications, don't use anticoagulants, correct INR
9. nursing care for hemorrhagic stroke
Answer
assess neuro frequently, monitor respi- ratory status, total care in critical care setting, monitor
for increased ICP, manage complications, monitor fluid balance and lab data, implement
aneurysm precautions, watch for vasospasm, report all changed immediately
10. what is an ischemic stroke?
Answer
disruption of blood supply due to stenosis or an obstruction, usually a thrombus or embolism
that causes infarction of brain tissue.
11. types of ischemic stroke
Answer
thrombotic and embolic
12. thrombotic stroke
Answer
happens fast, progressed slow, starts as TIA, worsens over a day to two until it is complete.
occurs more in older adults during sleep or rest. damaged area becomes demotes and necrotic.
13. embolic stroke
Answer
like a young basketball player who collapses. occurs more in younger people and when they are
active, often starts in left chambers of the heart and formed during AFIB. sudden onset and
immediate effect. if broken up and absorbed, deficits are gone within days.
14. ischemic stroke patho and etiology
Answer
blood flow and oxygenation decreased to cerebral neurons, cellular metabolism ceases, cells