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Stroke (Ischemic (Thrombotic (Most common in (Older population w/ (high…

- - - - Afib
        
        MI
        
        Infective endocarditis
        
        Rheumatic Heart Dx
        
        Valvular heart prosthesis
        
        atrial septal defect
    - - air embolus
        
        Fat embolus from long bone fracture
  - - - Older population w/
        
        high cholesterol
        
        atherosclerosis
        
        diabetes
    - - Infarction
        
        Edema
- - - - 50% mortality in first 48 hours
- - - - Heart Dx
        
        DM
        
        Smoking
        
        Obesity
        
        Sleep apnea
        
        Metabolic syndrome
        
        1 more item...
        
        Multifactoral w/ diabetes, hypertension, blood lipids
        
        Doubles the risk of ischemic stroke
        
        4x greater than general pop to have hemorrhagic stroke
        
        5x higher risk than general pop
      - A fib responsible for 25% of strokes
      - Increased risk of Afib w/ age
      - Anticoagulants used to mgmt
- - - - Left side neglect
        
        Spacial perceptual deficits
        
        Denies or minimize problems
        
        Rapid performance
        
        Impulsive/safety hazard
        
        Impaired judgement
        
        1 more item...
  - - - impaired speech language aphasia
        
        Impaired r/l discrimination
        
        Aware of deficit: depression, anxiety
        
        Slow performance
        
        Impaired comprehension r/t language, math
- - - - Secondary assessment
        
        Nursing diagonsis
        
        Planning
        
        Implemenatation
      - LOC/NIH stroke scale
      - Cognition
      - Motor ability
      - Sensation
      - Cranial nerve function
      - Proprioception
      - Cerebellar function
      - Deep tendon reflex