SCRN EXAM REVIEW
ABCD score - qualified answersrisk assessment tool used with TIA patients to assess
their risk of strokes
Acute Care Diagnostic Testing - qualified answersNoncontrast CT Imaging
MRI
Angiography
Carotid Doppler
Transcranial Doopler
Echocardiogram
Acute Care for Elders Units - qualified answersHospital specializing in gernontologic
patients
Acute Interventions for Hemorrhagic Strokes - qualified answersCorrect coagulopathies
Understand need for ventriculostomy
-- in ICH EVD used for pts with GCS < 8 or for those with IVH, hydrocephalus, or s/s or
hermiation
Manage ICP
Acute Stroke Care - qualified answersFrequent neuro assessment and vital signs
Cardiac monitoring and BP goals
Proper oxygenation > 94%
Early mobilization
Pain assessment and management
Blood glucose management
Targeted Temperature Management
Acute Treatment of Ischemic Stoke - qualified answersIV tPa
- criteria
- dosing
Post Administration care
Identify Post Administration Complications
,- symptomatic ICH
- bleeding from another site
- Angioedema
Interventional Treatment of Ischemic stroke (Door to IA 90-120 minutes)
- IA tPa
- Mechanical Thrombectomy (within 6 hours of stroke)
-- coil retrievers
-- Aspiration/debulking system
-- Stent retrievers
Hemicraniectomy
Amygdala - qualified answersPlays a crucial role in the management of stress, rage,
and anxiety. Center for memory and emotions.
Aneurysmal Subarachnoid Hemorrhage - qualified answers-Form at bifurcations
- 85% anterior
- Classification by morphology (85% saccular, fusiform)
- Sudden onset of a headache, LOC, nausea, vomiting, syncope, focal neurologic
deficits
Kernig's Signs: When thigh is flexed at the hip and extension of the knee is painful
Brudzinski's sign: when supine patient exhibits an involuntary lifting of the leg when the
head is lifted.
Sentinal headache: severe headache reported in the days or weeks before aSAH (15 -
60%)
Aneurysmal Subarachnoid Hemorrhage Risk Factor - qualified answersNon Modifiable
- Sex
- Age
- Race
- Genetics
Modifiable
- Smoking
- Heavy Alcohol Intake
- Hypertension
- Sympathomimetic Drug Use
- BMI
- Diet
- Increase Caffeine Intake
- Unruptured Cerebral Aneurysm
, Angioedema: Ischemic Strokes - qualified answersCan occur in 1 - 2% of tPa
receipiants, more often in patients on ACE inhibitors
Anterior Cerebral Artery (ACA) - qualified answersFeeds the media portion of the frontal
and parietal lobes as well as the corpus callosum
Anterior Inferior Cerebellar Artery (AICA) - qualified answersFeeds anterior inferior parts
of the cerebellum
aSAH Mangement - qualified answersAneurysm management and treatment
Delayed Cerebral Ischemia (Vasospam)
-- onset 6 - 10 days
-- lasting 21 days
-- Neurologic assessement key to identifying
-- Nimodpine: Ca Channel blocker
-- Tx: Hypertension, Hypervolemia, Endovascular therapy
Assisted Living Center - qualified answersPost-acute Care Setting
Intended for someone who cannot live independently
Atrial Fibrillation - qualified answers5 fold increase in reoccurence
goal INR 2 - 3
initiate 10 - 14 days after stroke before starting
AVMs Managment - qualified answersFollow tx of ICH medical management
tx: microsurgical resection, radiosurgery, endovascular embolization
Barthel Index - qualified answers0 - 100.
The higher the score the more independent
Barthel Index - qualified answersSelf-care and mobility scale
100 is normal
lower the score the higher the disability and dependency
Basal Ganglia - qualified answersa group of nuclei serving as the coordinating center for
several nerve tract including coordinating muscle movement
ABCD score - qualified answersrisk assessment tool used with TIA patients to assess
their risk of strokes
Acute Care Diagnostic Testing - qualified answersNoncontrast CT Imaging
MRI
Angiography
Carotid Doppler
Transcranial Doopler
Echocardiogram
Acute Care for Elders Units - qualified answersHospital specializing in gernontologic
patients
Acute Interventions for Hemorrhagic Strokes - qualified answersCorrect coagulopathies
Understand need for ventriculostomy
-- in ICH EVD used for pts with GCS < 8 or for those with IVH, hydrocephalus, or s/s or
hermiation
Manage ICP
Acute Stroke Care - qualified answersFrequent neuro assessment and vital signs
Cardiac monitoring and BP goals
Proper oxygenation > 94%
Early mobilization
Pain assessment and management
Blood glucose management
Targeted Temperature Management
Acute Treatment of Ischemic Stoke - qualified answersIV tPa
- criteria
- dosing
Post Administration care
Identify Post Administration Complications
,- symptomatic ICH
- bleeding from another site
- Angioedema
Interventional Treatment of Ischemic stroke (Door to IA 90-120 minutes)
- IA tPa
- Mechanical Thrombectomy (within 6 hours of stroke)
-- coil retrievers
-- Aspiration/debulking system
-- Stent retrievers
Hemicraniectomy
Amygdala - qualified answersPlays a crucial role in the management of stress, rage,
and anxiety. Center for memory and emotions.
Aneurysmal Subarachnoid Hemorrhage - qualified answers-Form at bifurcations
- 85% anterior
- Classification by morphology (85% saccular, fusiform)
- Sudden onset of a headache, LOC, nausea, vomiting, syncope, focal neurologic
deficits
Kernig's Signs: When thigh is flexed at the hip and extension of the knee is painful
Brudzinski's sign: when supine patient exhibits an involuntary lifting of the leg when the
head is lifted.
Sentinal headache: severe headache reported in the days or weeks before aSAH (15 -
60%)
Aneurysmal Subarachnoid Hemorrhage Risk Factor - qualified answersNon Modifiable
- Sex
- Age
- Race
- Genetics
Modifiable
- Smoking
- Heavy Alcohol Intake
- Hypertension
- Sympathomimetic Drug Use
- BMI
- Diet
- Increase Caffeine Intake
- Unruptured Cerebral Aneurysm
, Angioedema: Ischemic Strokes - qualified answersCan occur in 1 - 2% of tPa
receipiants, more often in patients on ACE inhibitors
Anterior Cerebral Artery (ACA) - qualified answersFeeds the media portion of the frontal
and parietal lobes as well as the corpus callosum
Anterior Inferior Cerebellar Artery (AICA) - qualified answersFeeds anterior inferior parts
of the cerebellum
aSAH Mangement - qualified answersAneurysm management and treatment
Delayed Cerebral Ischemia (Vasospam)
-- onset 6 - 10 days
-- lasting 21 days
-- Neurologic assessement key to identifying
-- Nimodpine: Ca Channel blocker
-- Tx: Hypertension, Hypervolemia, Endovascular therapy
Assisted Living Center - qualified answersPost-acute Care Setting
Intended for someone who cannot live independently
Atrial Fibrillation - qualified answers5 fold increase in reoccurence
goal INR 2 - 3
initiate 10 - 14 days after stroke before starting
AVMs Managment - qualified answersFollow tx of ICH medical management
tx: microsurgical resection, radiosurgery, endovascular embolization
Barthel Index - qualified answers0 - 100.
The higher the score the more independent
Barthel Index - qualified answersSelf-care and mobility scale
100 is normal
lower the score the higher the disability and dependency
Basal Ganglia - qualified answersa group of nuclei serving as the coordinating center for
several nerve tract including coordinating muscle movement
