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NeuroMedical-Surgical Nursing-7th edition

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What causes HUS?
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Bacterial and viral agents, e. coli endotoxins.
Occlusion of which cranial artery is the most common... and devastating?
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Middle Cerebral Artery
The _______ artery is located on the lateral aspect of the frontal, parietal and temporal lobes.
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Middle Cerebral Artery
An occlusion of the middle cerebral artery would result in...
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Aphasia (no speech) in dominant hemisphere and contralateral hemiplegia; affects everything... movement, sensation (particularly in the face and arms).
If a patient is complaining of headache, stiff neck, and sensitivity to light and there's blood (RBCs) in the CSF, this indicates...
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a subarachnoid hemorrhage
A _______ hemorrhage manifests with signs and symptoms of increased ICP (headache, n/v, decreased LOC, motor deficits) and will also involve neck stiffness, photophobia, a (+) Kernig sign and (+) Brudzinski sign.
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Subarachnoid Hemorrhage
Subdural hemorrhage = _______ bleed. Epidural hemorrhage = _______ bleed.
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Subdural = venous bleed; Epidural = arterial bleed
Characteristic of ? Initial rupture leads to LOC. They seem okay. They rupture again, bleed very quickly and die.
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Epidural hemorrhage
Intracranial aneurysms occur most commonly between the ages of _______.
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30-60. Women in their 50's is peak incidence.
A _______ hemorrhage is bleeding between the arachnoid mater and the dura mater. It is a slow developing venous bleed.
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Subdural
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A _______ hemorrhage is bleeding between the dura mater and the skull. It is an arterial bleed resulting in quick blood loss.
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Epidural
Intracranial aneurysms can be caused by trauma, congenital defects, cocaine, and _______.
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atherosclerosis
Worst headache of my life; felt something pop; hemorrhagic stroke syndrome; hypothalamic dysfunction leads to temperature changes describe...
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Intracranial Aneurysm
Embolic strokes = _______ symptoms. Thrombotic = _______ symptoms.
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Embolic = sudden; Thrombotic = progressive
White or Ischemic strokes are the same things as _______ strokes.
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Thrombotic
What are signs and symptoms of a thrombotic stroke?
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Transient ischemic attacks (slurred speech, weakness of an extremity): lasts less than 24 hours. Stroke in progress; non-reversible symptoms. Completed stroke (ICP).
_______ are caused by a build up of plaque over time. This leads to a progressive of symptoms over time.
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Thrombotic Strokes
Thrombotic Strokes arise from blockages _______; whereas embolic strokes arise from blockages _______.
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Thrombotic: blockages within brain vasculature; Embolic: fragments from thrombus outside of brain (heart, lungs)
______ strokes form because of arterial occlusions formed in the arteries supplying the brain or in the intracranial vessels...
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Thrombotic Stroke (thrombi cause the occlusion)
What are signs and symptoms of embolic strokes?
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Dysphagia, weakness on one side, increased ICP 48-72 hours later. *focal symptoms
_______ involve fragments that break from a thrombus formed outside the brain or in the heart, aorta or common carotid.
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Embolic Stroke
  
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