SCRN Acute Care Questions And All Solutions Complete

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 surgery ICH SBP 200 - Answer--Continuous infusion of BP lowering drugs