CMSRN SCRIPT COMPLETE ANSWERS
GRADED A+
◉ Stroke (Cause/Symptoms/Types/Treatment)
Answer: Causes: brain tissue dies due to injury
Symptoms: balance, eyes, face, arms, speech, time
Types: ischemic and hemorrhagic strokes
Treatment:
◉ Ischemic Stroke (Causes/Mechanism/Forms/Risks/Treatment)
Answer: Causes: more common, blood clot developing in the brain
Mechanism: blood clot depletes ATP stores, cytotoxic edema can
occur
Forms: thrombotic (plaque causes thrombus and clot), embolic
(clot in heart or elsewhere gets stuck in brain)
Risks: overweight, inactivity, ETOH, heroin/cocaine, HTN,
cholesterol, heredity
Treatment: Alteplase, thrombectomy. Monitor hyperthermia,
hypertension, cardiac arrest from shock
◉ Hemorrhagic Stroke
(Causes/Mechanism/Forms/Dx/Risks/Treatment)
Answer: Causes: brain vessel leaks or ruptures (less common)
Mechanism:
, Forms: intracerebral (in brain, caused by hypertension or
anticoag's), subarachnoid (on/near brain surface bursts, cause
headache
Diagnosis: CBC, coagulation test, CT, MRI
Risks:
Treatment: anti-HTN, ACE inhibitors (goal under 140mmHg),
diuretics, elevate head, vitamin K (if taking warfarin)
◉ Transient Ischemic Attack (Causes)
Answer: Causes: temporary loss of blood supply, lasting a few
minutes. Possibly due to narrowed artery or clot. At risk for
stroke!
◉ Transient Ischemic Attack (Treatment)
Answer: Treatment: anticoagulants or antiplatelets, or
thrombolytics. May need carotid endarterectomy or angioplasty
◉ Temporal Arteritis (Causes)
Answer: Causes: Aka giant cell arteritis. Arterial layers in scalp
become inflamed, harming the area.
◉ Placental Abruption (Causes)
Answer: Cause: placenta detaches from uterus, causing intense
internal bleeding.
GRADED A+
◉ Stroke (Cause/Symptoms/Types/Treatment)
Answer: Causes: brain tissue dies due to injury
Symptoms: balance, eyes, face, arms, speech, time
Types: ischemic and hemorrhagic strokes
Treatment:
◉ Ischemic Stroke (Causes/Mechanism/Forms/Risks/Treatment)
Answer: Causes: more common, blood clot developing in the brain
Mechanism: blood clot depletes ATP stores, cytotoxic edema can
occur
Forms: thrombotic (plaque causes thrombus and clot), embolic
(clot in heart or elsewhere gets stuck in brain)
Risks: overweight, inactivity, ETOH, heroin/cocaine, HTN,
cholesterol, heredity
Treatment: Alteplase, thrombectomy. Monitor hyperthermia,
hypertension, cardiac arrest from shock
◉ Hemorrhagic Stroke
(Causes/Mechanism/Forms/Dx/Risks/Treatment)
Answer: Causes: brain vessel leaks or ruptures (less common)
Mechanism:
, Forms: intracerebral (in brain, caused by hypertension or
anticoag's), subarachnoid (on/near brain surface bursts, cause
headache
Diagnosis: CBC, coagulation test, CT, MRI
Risks:
Treatment: anti-HTN, ACE inhibitors (goal under 140mmHg),
diuretics, elevate head, vitamin K (if taking warfarin)
◉ Transient Ischemic Attack (Causes)
Answer: Causes: temporary loss of blood supply, lasting a few
minutes. Possibly due to narrowed artery or clot. At risk for
stroke!
◉ Transient Ischemic Attack (Treatment)
Answer: Treatment: anticoagulants or antiplatelets, or
thrombolytics. May need carotid endarterectomy or angioplasty
◉ Temporal Arteritis (Causes)
Answer: Causes: Aka giant cell arteritis. Arterial layers in scalp
become inflamed, harming the area.
◉ Placental Abruption (Causes)
Answer: Cause: placenta detaches from uterus, causing intense
internal bleeding.
