Nurs 411 Neuro Study Guide Review
1. this is in charge of motion, emotion and language: cerebrum
2. this is in charge of balance, coordination, and the brain stem: cerebellum
3. 3 things with acute stroke that we need to know about: last time normal
INR
dye allergies
4. assessment tool for acute stroke: NIHSS
5. gold standard for stroke treatment: Tpa
6. what do you need to do before TPA admin: need to make sure they are not hemorrhaging
7. what will you question if you see hemorrhaging on scan but you were told that
the time last normal was recent: question the time
8. what is the time limit for TPA ?
for endovascular therapy?: 4.5 hours
6 hours
9. what will automatically disqualify TPA: recent surgery
fully anticoagulated
bad history
10. what are the criteria for endovascular therapy: before 6
hours less than 8mm clot
1/
5
, less than 4 aspect score
11. with an anterior stroke what side is affected: opposite
12. with a posterior stroke what side is affected: same
13. speech centers follow what: dominant side of brain
14. right hand dominant
person will have a sided dominant brain and
speech centers: left
15. TPA is weight
based at with a max of:
.9mg/kg
90mg
16. how is TPA administered: first 10% given as bolus in first minute the rest is given over an hour
17..............BP must be under / to begin TPA and
/....................24 hours post TPA: 185/110. 180/105
18. meds preferred to give for HTN in TPA: labetalol
nicardipine
2/
5
1. this is in charge of motion, emotion and language: cerebrum
2. this is in charge of balance, coordination, and the brain stem: cerebellum
3. 3 things with acute stroke that we need to know about: last time normal
INR
dye allergies
4. assessment tool for acute stroke: NIHSS
5. gold standard for stroke treatment: Tpa
6. what do you need to do before TPA admin: need to make sure they are not hemorrhaging
7. what will you question if you see hemorrhaging on scan but you were told that
the time last normal was recent: question the time
8. what is the time limit for TPA ?
for endovascular therapy?: 4.5 hours
6 hours
9. what will automatically disqualify TPA: recent surgery
fully anticoagulated
bad history
10. what are the criteria for endovascular therapy: before 6
hours less than 8mm clot
1/
5
, less than 4 aspect score
11. with an anterior stroke what side is affected: opposite
12. with a posterior stroke what side is affected: same
13. speech centers follow what: dominant side of brain
14. right hand dominant
person will have a sided dominant brain and
speech centers: left
15. TPA is weight
based at with a max of:
.9mg/kg
90mg
16. how is TPA administered: first 10% given as bolus in first minute the rest is given over an hour
17..............BP must be under / to begin TPA and
/....................24 hours post TPA: 185/110. 180/105
18. meds preferred to give for HTN in TPA: labetalol
nicardipine
2/
5
