NURS 3664 Lecture Notes - Lecture 4: Transient Ischemic Attack, Internal Carotid Artery, Stroke
Document Summary
Raise both arms, does one drift? (s)peech (difficulty: ask to repeat a simple sentence (the sky is blue) (t)ime (call for help) Types of stroke: strokes are classified based on underlying pathophysiologic findings. Intracerebral or intraparenchymal hemorrhage: subarachnoid space or ventricles, subarachnoid or intraventricular hemorrhage. Intracranial bleeding into cerebrospinal fluid filled space between arachnoid and pia mater: commonly caused by rupture of a cerebral aneurysm, trauma, or drug abuse, cerebral aneurysm, majority are in circle of willis, silent killer. Incidence with age; higher in women: loss of consciousness may or may not occur, high mortality rate, survivors often suffer significant complications and deficits. Impaired right/left discrimination: paralyzed right side: hemiplegia, slow performance, cautious, aware of deficits: depression, anxiety. Homonymous hemianopsia: spatial and perceptual deficits in stroke, perception of a patient with homonymous hemianopsia shows that food on the left side is not seen and thus is ignored.
