Spinal cord injury
Spinal shock
Stroke
Left brain is dominant/ analytical
Logic, written language, math so a stroke in this area effects right side of body
Right brain side is artsy
Emotion, imagination, face recognition, intuition a stroke in this area affects left side of body
TIA vs CVA (TYPES OF STROKES)
TIA resolves, CVA does not
-hemorrhagic
First line of treatment is aspirin
Test for it (Balance Eyesight changes Face drooping Arms weakness on one side Speech Time (determines
if you can have TPA, must be given 3 hrs-4.5 after symptoms) ) - look at chapter 41
Medications- CCB, stool softeners, antiplatelets, anticoagulants, analgesics
Surgical Tx- remove part of skull to allow swlling or remove clot.
Craniotomy, craniectomy
Interventions: Keep ICP less than 20, normal is 10-15
TBI: damage to brain from external force, not a neurodegenerative or congenital
2 types primary vs secondary (think pts at regional one after car accidents)
SUBDURAL HEMATOMA
Venous bleeding into space beneath dura and above arachnoid
-tearing of bridging veins within cerebral hemispheres
Bleeding occurs more slowly than from an epidural hematoma