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