SCRN Acute Care Questions and Answers Solved 100% Correct!!

Neuro deterioration occurs when? - Answer-24-48 H after a stroke in 25 % of cases Most common complications within first 4 days of stroke - Answer-Pain Fever Progression of stroke UTI Most ICH occur when with administration of IV TPA - Answer-first 24 hours Temperature goal - Answer- 100.4 F Glucose goal - Answer-140-180 O2 goal - Answer- 94% Seizure Prophylaxis - Answer-Do not recommend Interventions to lower ICP - Answer-Hypertonic Saline Diuretics Mild hyperventilation Decompressive surgery (NO STEROIDS) Swallowing Issues - Answer-High risk for aspiration "wet" voice indications aspiration RN can do bedside swallow screen SLP- swallow assessment CN for swallow and gag - Answer-9, 11, 12Does CO2 vasoconstrict or vasodilate? - Answer-Vasodilator ICH are caused by - Answer-HTN Anticoagulation hemorrhage SAH caused by - Answer-Aneurysms AVM Cavernous angiomas Risk factors for ICH - Answer-HTN Smoking DM High Cholesterol Most ICH occur where? - Answer-Smaller, deeper arteries Putamen hemorrhage When do most ICH increase in size? - Answer-First 12 hours Symptoms of ICH - Answer-Vomiting SBP 220 Severe HA Decrease LOC (quickly) Coma Emergency Management of ICH - Answer-Airway protection Reverse coagulopathy BP management EVD Treatment of ICPPossible surger