SCRN Study guides, Class notes & Summaries

Function of the Frontal Lobe "EXECUTIVE" functions reasoning, emotions, judgement, voluntary movement planning and initiation, personality expression and moderation of social functions Broca's area is in this lobe (production of speech) Function of the Parietal Lobe "SENSES" Processes sensory input Language processing, recognition and orientation, and sensory of perception stimuli Gustatory area is here in which your taste buds are here Function of Right Parietal Lobe interpret...

BARTHEL INDEX Barthel Index • This evaluation is a measure of functional ability to manage ADL's and degree of help needed. - Feeding - Bathing - Grooming - Dressing -Bowel -Bladder -Toileting -Transfers -Stairs - Mobility • Mahoney FI, Barthel D. "Functional evaluation: the Barthel Index.Maryland RANKIN SCORE Originally used as an interview (Rankin) • Modified for clinical use (mRankin) • Commonly used as an outcome point in research due to ease of application • 0 - No ...

A patient is right handed and suffers from a large Right vessel occlusion in the internal carotid artery. Because it is affecting the pts dominate sphere, they are most likely to experience: Aphasia A patient is right handed and suffers from a large left vessel occlusion in the internal carotid artery. Because it is affecting the pts non-dominate sphere, they are most likely to experience: Neglect An ischemic stroke in the Internal Carotid artery will result in ___________________ vision l...

How many cranial nerves are there? 12 pairs How many spinal nerves are there? 31 pairs Penumbra Area of ischemic brain tissue that is potentially reversible What are the two types of hemorrhagic stroke? intracerebral hemorrhage and subarachnoid hemorrhage What are some causes of intracerebral hemorrhage? HTN, drug use, cerebral amyloid angiopathy, hemorrhagic tumors What are some causes of subarachnoid hemorrhage? Ruptured aneurysm (most often berry) or an AVM What are the most...

drug classes fibrinolytic antifibrinolytic anticoagulant antiplatelet -statins antihypertensives hypertensives diuretics anti epileptics fibrinolytics clot buster, breaks down existing clots rtPA: recombinant tissue plasminogen activator - MOA: activates plasmin, breaks down clot - adverse: bleeding, angioedema anticoagulants clot stopper, prevents clots from forming heparin enoxaparin (Lovenox) coumadin (Warfarin) direct thrombin inhibitors: - dabigatran (Pradaxa) ...

anoxia total depletion in the level of O2 although there is adequate blood flow hypoxia decrease in O2 levels despite adequate blood flow necrotic pathway cell energy failure and rapid cytoskeletal breakdown apoptotic pathway programmed cell death primary brain injury An injury to the brain and its associated structures that is a direct result of impact to the head. Secondary brain injury The "after effects" of the primary injury; includes abnormal processes such as cerebral ede...

maintain CPP and ICP. low high? 60-70. ICP<20. CPP <60 hypo perfusion. CPP >70 = risk for rebreeding. contraindicated to perform an LP to eval presence of blood in a pt with an SAH ? why increased ICP . Increased ICP can result in central herniation following an LP d/t high pressure in the brain and negative pressure in the spinal subarachnoid region. intracranial aneurysms are most likely found? statistics. in the branches or bifurcations of the anterior cerebral circulation . 80...

Neuro deterioration occurs when? 24-48 H after a stroke in 25 % of cases Most common complications within first 4 days of stroke Pain Fever Progression of stroke UTI Most ICH occur when with administration of IV TPA first 24 hours Temperature goal < 100.4 F Glucose goal 140-180 O2 goal > 94% Seizure Prophylaxis Do not recommend Interventions to lower ICP Hypertonic Saline Diuretics Mild hyperventilation Decompressive surgery (NO STEROIDS) Swallowing Issues ...

Stroke Risk Factors Age Gender (men >women) Genetics Stroke Primary Prevention Tobacco cessation Blood pressure reduction Stroke Secondary Prevention Prevention of another stroke Targets treatment for change once disease is present i.e. Blood Pressure control, LDL control, recognition of S/S stroke Frontal Lobe Functions LOC Regulates personality and affect Impulsivity and judgement Abstract thinking Conjugate eye movements Frontal Lobe Precentral Gyrus AKA Motor Strip P...

What was the role of the Brain Attack Coalition (BAC) in stroke care? Founded by 17 neurosurgeons in 1991, they established standardized stroke care criteria based on evidence based practice Which organization provides criteria for a healthcare facility to become a primary stroke center? The Brain Attack Coalition (BAC) Which 3 organizations provide certification for a healthcare facility to become to become a primary stroke center? The Joint Commission (TJC), Healthcare Facilities Accredi...