alterations of the central nervous system assessment of a cva f.a.s.t face arms speech time* *...
TRANSCRIPT
ALTERATIONS OF THE ALTERATIONS OF THE CENTRAL NERVOUS CENTRAL NERVOUS SYSTEMSYSTEMAssessment of a CVA
F.A.S.TFaceArmsSpeechTime*
*http://www.stroke.org/site/News2?page=NewsArticle&id=9015&news_iv_ctrl=1222
Cerebrovacular AccidentCerebrovacular Accident Neurological Neurological
AssessmentAssessmentCognitiveMotor SensoryCranial Nerve FunctionCardiovascular assessmentPsychosocial assessment
Cognitive AssessmentCognitive AssessmentIntellectual Function
-memory -judgment
-problem solving/ decision making -speech
Motor AssessmentMotor AssessmentMotor changes
-hemiplegia (paralysis) -hemiparesis (weakness) -muscle tone (hyper or hypotonia) -motor activity (agnosia/ apraxia) -bowel/bladder control -gag reflex/ swallowing -self care
Sensory AssessmentSensory AssessmentSensory changes
-sensory loss (touch, pain, heat, cold)
-neglect syndrome -spatial/proprioceptive
-hemianopsia -Amaurosis fugax
Cranial Nerve AssessmentCranial Nerve Assessment
Functional Abnormalities-Assess any difficulties in
chewing, swallowing-Assess any facial paralysis
Cardiovascular Cardiovascular AssessmentAssessmentObtain patient history: heart
murmur, TIAAssess vital signs especially BP
- history of hypertension
Psychosocial AssessmentPsychosocial AssessmentAssess patient’s reaction to
illnessAssess behavioral changes:
-emotional lability -mood changes ( fear, anger, depression) -assess effect on financial status, job
Hemorrhagic-SubarachnoidHemorrhagic-SubarachnoidCerebral AneurysmCerebral Aneurysm
Warning Symptoms: sudden onset of a severe headache – “worst headache of one’s life”
Change of LOC, Neurological deficits, nausea, vomiting, seizures, stiff neck
Prognosis: many patients die or left with significant cognitive difficulties
Diagnostic TestsDiagnostic TestsCAT scanMRI/ MRASPECT (Single-photon emission
computed tomography)
Carotid Doppler StudiesAngiographyLumbar punctureGlascow Coma Scale: monitor
neurological status