UNIT 4 speed run

Left hemisphere stroke

Effects right side of body

Left hemisphere stroke

Impaired speech (aphasia) - broca and werknicke

Left hemisphere stroke

Impaired comprehension and memory

Left hemisphere stroke

Vision changes

Left hemisphere stroke

Slow performance, cautious, aware of deficits

Left hemisphere stroke

Unable to distinguish between right from left (impaired discrimination)

Left hemisphere stroke

More emotional

Left hemisphere stroke

More common

Right hemisphere stroke

Deign/creative

Left hemisphere stroke

Usability/analytic

Right hemisphere stroke

Effects left side of body

Right hemisphere stroke

Spatial or perceptual abilities

Right hemisphere stroke

Impulsive - unwanted of their impairments (risk issues)

Right hemisphere stroke

Left sided neglect

Right hemisphere stroke

Short term memory problems

Right hemisphere stroke

Often not on dominant

Ischemic stroke

Atherosclerosis

Ischemic stroke

Increased cholesterol; homocysteine

Ischemic stroke

Smoking

ischemic stroke

Obesity

ischemic stroke

Diabetes mellitus

Ischemic stroke

Carotid stenosis - narrowing of arteries due to plaque

Ischemic stroke

Migraines

Hemorrhagic stroke

HTN

Hemorrhagic stroke

Advancing age

Hemorrhagic stroke

Smoking history

hemorrhagic stroke

Alcohol abuse

hemorrhagic stroke

Cocaine and other sympathomimetics

Hemorrhagic stroke

Coagulopathies

Hemorrhagic stroke

AV maformation

Common symptoms of stroke

Facial dropping (one sided)

Common symptoms of stroke

Vision problems (diplopia, loss of vision, blurred)

Common symptoms of stroke

Speech difficulty

Common symptoms of stroke

Arm weakness

Common symptoms of stroke

Trouble walking or lack of coordination

Common symptoms of stroke

Severe headache without known cause

Stroke symptoms for women

General weakness

Stroke symptoms for women

Disorientation, confusion, memory problems

Stroke symptoms for women

Fatigue

Stroke symptoms for women

N/V

Stroke Core Measurement (STK) STK-1

VTE Prophylaxis

STK-2

Discharged on antithrombotic therapy

STK-3

Anticoagulation therapy for a-fib/flutter

STK-4

thrombolytic therapy

STK-5

antithrombotic therapy by end of hospital day 2

STK-6

Discharged on statin med

STK-8

stroke education

STK-10

assessed for rehab

Agnosia

unable to identify objects or sounds using their sense

Apraxia

unable to perform movements or tasks when asked

Homonymous hemianopsia

field loss deficit in same halves of visual field of each eye

• due to optic nerve crossing over

• patient can have side view blindness

• loss of half vision in both eyes

Frontal

Intellect, stay awake and coherent, ability to think, personality, motor activity, behavior

• Broca's area

Temporal

memory

• hearing, balance, speech

• Wernicke's area

Occipital

vision, balance

cerebellum

balance and coordination, role in motor movement regulation

• maintain posture

• controls muscle tone and voluntary muscle activity

brainstem

as pressure moves down, posturing can be affected

• Connects brain to spinal cord

• sends messages to rest of body to regulate balance, breathing, HR

pituitary gland

sexual impulse, water retention, metabolism

hypothalamus

arouses sleep and wake, temp regulation (metabolic)

Thalamus

Allows us to maintain relationship with what is going on around us

carotid artery

major blood vessel that provides brain's blood supply

• stroke in this area affects face (affects breathing, eating, talking)

Vertebral artery

major arteries of the neck

• helps with balance

vertebrobasilar arterial system

supply oxygen to whole back area of brain

• essential for consciousness, vision, coordination, balance, and other essential functions

• cerebellum and cerebellar area control back and forth movement

cerebrum

initiates and coordinates movement and regulates temp

parietal

touch and pressure

• reading, writing, math calc., distinguishing left from right

CN I Olfactory (s)

Sniff test

CN II Optic (s)

Visual acuity

CN III Oculomotor

6 cardinal gazes, pupillary constriction, opening and closing of eyes (blinking)

CN IV Trochlear

6 cardinal gazes, downward and inward movement of eyes

CN V Trigeminal

Facial sensation (maxillary, mandibular), muscle strength (masseter, temporalis muscle)

CN VI Abducens

6 cardinal glazes, lateral movements of the eyes

CN VII Facial

Puffing out cheeks, smile and frown

CN VIII Acoustic, vestibulocochlear

Whisper test, weber, rhine, and rhomberg

CN IX Glossopharyngeal

Gag reflex, swallow

CN X Vagus

Coughing, gag reflex (motor)

CN XI Spinal Accessory

shrugging (trapezius), side to side movement (sternocleidomastoid)

CN XII Hypoglossal

Tongue movement and strength ("light, tight, dynamite")