SCRN Acute Care Questions and Answers Graded A+

SCRN Acute Care Questions and Answers Graded A+ Neuro deterioration occurs when? 24-48 H after a stroke in 25 % of cases Most common complications within first 4 days of stroke Pain Fever Progression of stroke UTI Most ICH occur when with administration of IV TPA first 24 hours Temperature goal 100.4 F Glucose goal 140-180 O2 goal 94% Seizure Prophylaxis Do not recommend Interventions to lower ICP Hypertonic Saline Diuretics Mild hyperventilation Decompressive surgery (NO STEROIDS) Swallowing Issues High risk for aspiration "wet" voice indications aspiration RN can do bedside swallow screen SLP- swallow assessment CN for swallow and gag 9, 11, 12 Does CO2 vasoconstrict or vasodilate? Vasodilator ICH are caused by HTN Anticoagulation hemorrhage SAH caused by Aneurysms AVM Cavernous angiomas Risk factors for ICH HTN Smoking DM High Cholesterol Most ICH occur where? Smaller, deeper arteries Putamen hemorrhage When do most ICH increase in size? First 12 hours Symptoms of ICH Vomiting SBP