Learn more. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. One of the most common medical complications following stroke is deep venous thrombosis, in which a clot forms within a limb immobilized by paralysis. Death of brain cells triggers a chain reaction in which toxic chemicals created by cell death affect other nearby cells. Emotional lability, a consequence of some strokes, is recognized and explained, and assistance is provided to help the patient deal with changes in affect. A colloquial and imprecise term for a transient ischemic attack. I don't know how to help her. 9707 E. Easter Lane, Englewood, Co. 80112. Stroke risk increases with cigarette, blurring or decreased vision in one or both eyes, weakness, numbness, or paralysis of the face, arm, or leg, usually confined to one side of the body, dizziness, loss of balance or coordination, especially when combined with other symptoms. +. This may lead to aspiration. A stroke caused by diminished blood flow to a particular artery in the brain, e.g., as a result of a clot in the artery or an embolus lodging in the artery. Nglish: Translation of stroke for Spanish Speakers, Britannica English: Translation of stroke for Arabic Speakers, Britannica.com: Encyclopedia article about stroke. Once stroke is suspected, a computed tomography scan (CT scan) or. Quiet rest periods are provided based on the patient's response to activity. When rt-PA administration is complete, the patient is transferred to the neurologic ICU or neurology unit. Synonyms for Brain stroke in Free Thesaurus. Nursing measures are instituted to prevent complications of immobility. Caring for a person affected with stroke requires learning a new set of skills and adapting to new demands and limitations. A history of the incident is obtained, including how and when symptoms started. a hard strike with a part of the body or an instrument, to touch or handle in a tender or loving manner. Clots that break free often become lodged in an artery feeding the lungs. Synonyms: Noun . Antonyms for Brain stroke. 1. a medical condition in which blood is suddenly blocked and cannot reach the brain, or in which a blood vessel in the brain breaks, often causing a loss of the ability to speak or to move particular muscles. What Are the Risk Factors for Developing Stroke? Cerebral thrombosis and cerebral, Cerebral thrombosis occurs when a blood clot, or thrombus, forms within the brain itself, blocking the flow of blood through the affected vessel. Hemorrhagic strokes tend to be more serious. Learn other signs of a stroke and what to do if you see someone exhibiting them. Cerebral embolism occurs when a blood clot from elsewhere in the circulatory system breaks free. Straining at stool or use of enemas is avoided. Description A stroke occurs when blood flow is interrupted to part of the brain. All patient efforts should receive positive reinforcement. Strokes on the left side of the brain primarily affect the right half of the body, and vice versa. Intracerebral hemorrhages represent about 10% of all strokes, while subarachnoid hemorrhages account for about 7%. During the acute phase of a stroke, respiratory and circulatory support and attention to fluid and electrolyte balance and nutrition are vitally important. Antonyms for stroke. The patient is positioned in the lateral or semiprone position with the head elevated 15 to 30 degrees to decrease cerebral venous pressure. According to. Although cranial CT without contrast enhancement is the procedure of choice to distinguish ischemic from hemorrhagic stroke and to identify subarachnoid hemorrhage, MRI is a more sensitive indicator of parenchymal hemorrhage as well as of early ischemia and infarction, and is more useful in assessing the brainstem and cerebellum and in identifying underlying nonvascular lesions. Neurological status is monitored for signs of deterioration or improvement, and findings are documented on a flow sheet. older than 65 years), atherosclerosis of the aortic arch, atrial fibrillation, carotid artery disease, cigarette use, excessive alcohol use (more than 5 drinks daily), heart failure, hyperlipidemia, hypertension, a history of myocardial infarction, diabetes mellitus, male gender, close relation of someone who has had a stroke, nonwhite race, peripheral vascular disease, physical inactivity, obesity, using combination hormonal contraception (the pill, ring, patch), being pregnant or immediately postpartum, or a recent transient ischemic attack. Staff provides oxygen by nasal cannula, establishes venous access via two large-bore catheters, and infuses saline intravenously; obtains blood samples for complete blood count, blood glucose, electrolytes, and coagulation studies; and obtains a 12-lead ECG and initiates cardiac monitoring. This may include instruction in the use of adaptive and supportive devices to facilitate independence in daily tasks. Symptoms may include: The diagnosis of stroke is begun with a careful medical history, especially concerning the onset and distribution of symptoms, presence of risk factors, and the exclusion of other possible causes. The patient who experiences these problems should call 911 immediately. The Glasgow Coma Scale should be used to assess level of consciousness. Examples of activities include repositioning at least every 2 hr, maintaining correct body alignment, supporting joints to prevent flexion and rotation contractures, and providing range-of-motion exercises (passive to involved joints, active-assisted or active to uninvolved joints). Popular synonyms for Stroke and phrases with this word. Clots most often form due to "hardening" (. The National Institute of Neurological Disorders and Stroke (NINDS) suggests the following order of assessment in patients with suspected stroke: level of consciousness, eye movements, visual fields, facial movements, motor function of arms and legs, limb coordination, sensory responses, and language use including clarity of speech. Hemorrhagic stroke: This type of stroke takes place when a weakened blood vessel in the brain ruptures. Without blood to supply oxygen and nutrients and to remove waste products, brain cells quickly begin to die. Another word for stroke: caress, rub, fondle, pat, pet | Collins English Thesaurus In ischemic stroke, intravenous administration of tissue plasminogen activator (TPA) within the first 3 hours, with the purpose of dissolving an obstructing thrombus, has been shown to improve overall outcome at 90 days. Fever and hyperglycemia are treated aggressively because elevated body temperatures and elevated blood glucose levels have been linked to poorer outcomes. Most stroke patients are hospitalized for a few days. Hemorrhagic stroke, which makes up the other 15%, has a graver prognosis, with a 30-day mortality rate of 40-80%. have/suffer a stroke: Leni suffered a stroke last year, and is unable to walk. For this type of stroke, treatment focuses on restoring blood flow to the brain. is an easy way to remember signs of stroke and what to do if you think a stroke has occurred. The risk of stroke can be reduced through lifestyle changes: Treatment of atrial fibrillation may significantly reduce the risk of stroke. After 1 month the stroke is chronic. Warfarin (Coumadin) has proven to be more effective than aspirin for those with higher risk. In consultation with occupational therapists and physical therapists, a program of positioning and mobility is initiated, as appropriate. Stroke symptoms can progress quickly but may wax and wane over the course of a few hours.1 It is not possible to predict how severe a stroke will become or how long it will take to reach its maximum effect. Prompt treatment is key to preventing the following outcomes: It's a stroke of luck, or chance event, to find a terrific parking space on a rainy day, but no one feels lucky when their grandfather has a stroke, a sudden debilitating loss of oxygen to the brain. The stroke team, neurologist, radiologist, and MRI and/or CT technician are alerted. In people with carotid artery stenosis of more than 70%, carotid endarterectomy clearly reduces the risk of stroke. Other medical conditions. Bladder function is assessed; noninvasive measures are used to encourage voiding in the presence of urinary retention, voiding pattern is determined, and the incontinent patient is kept clean and dry. The mortality of ischemic stroke is 15-30% within the first 30 days. Past medical history should be reviewed (hypertension, use of anticoagulant drugs, cardiac dysrhythmias). In contrast, a stroke involves irreversible brain damage, the type and severity of symptoms depending on the location and extent of brain tissue whose circulation has been compromised. HEMORRHAGIC STROKE: Bleeding into the brain, seen on noncontrast head CT (Courtesy of Harvey Hatch, MD, Curry General Hospital). In nonvalvular atrial fibrillation, warfarin prophylaxis reduces stroke risk by two thirds. The patient is prepared for prescribed diagnostic studies, including MRI and/or CT, and possibly arteriography. A stroke that produces loss of muscular functions. Rehabilitation services may be provided in an acute care hospital, rehabilitation hospital, long-term care facility, outpatient clinic, or at home. Ischemic stroke is much more common than hemorrhagic stroke. Metaanalysis of randomized controlled trials involving a total of more than 50,000 people indicated that low-dose aspirin (81-325 mg/day) reduces the risk of ischemic stroke by 39 events per 10,000 people but increases the risk of hemorrhagic stroke by 12 events per 10,000 people. People who received the treatment were less likely to die from cardiovascular events than those who did not receive, Damage from stroke may be significantly reduced through emergency treatment. Other studies suggest that aspirin at higher dosage (1.3 g/day in divided doses) protects men but not women from ischemic stroke because in women aspirin also suppresses prostacyclin, a natural inhibitor of platelet aggregation. About 600,000 people a year experience strokes in this country, of which about one fourth are fatal. A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Stroke is fatal for about 27% of white males, 52% of black males, 23% of white females, and 40% of black females. This form of therapy is not without risk; thrombolytic drugs can reduce the potential for long-term disability and death by 20%, but increase the risk of hemorrhage. noun. Early action can minimize brain damage and potential complications.The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past. n. 1. If potential benefits are established, recombinant tissue plasminogen activator (rt-PA) is administered intravenously over 60 min, with 10% of the determined dosage as a bolus in the first 60 sec. Other investigations that may be performed to guide treatment include an electrocardiogram, Emergency treatment of stroke from a blood clot is aimed at dissolving the clot. This medicine can improve recovery from a stroke, especially if it's given as soon as possible after the stroke happens. However, about two-thirds of stroke survivors will have disabilities ranging from moderate to severe. Use of indwelling catheters is limited because these promote urinary tract infection. A brief neurological exam is performed to identify the degree and location of any deficits, such as weakness, incoordination, or visual losses. Define stroke. Hypothermia and intravenous administration of heparin and magnesium also improve outcome in selected cases. Stroke Definition A stroke is the sudden death of brain cells in a localized area due to inadequate blood flow. A stroke requires immediate medical attention. If clot-busting drugs cannot or should not be administered, monitoring and supportive care is provided. The incidence of stroke has gradually declined during the past generation. t-PA therapy has been shown to improve recovery and decrease long-term disability in selected patients. Joining a support group can be one of the most important steps in the rehabilitation process. The rehabilitation program is based on the patient's individual deficits and strengths. Stroke survivors may be left with significant deficits. Fluid and electrolyte balance (intake, output, daily weight, laboratory values) is monitored and maintained. The act or an instance of striking, as with the hand, a weapon, or a tool; a blow or impact. Synonyms: bang, bash, bat… Find the right word. An earlier time threshold for defining “persistent” stroke symptoms, such as >1 hour, would result in the misclassification of patients with transient symptoms lasting 1 to 24 hours and no imaging evidence of ischemia as “stroke,” rather than “TIA” using the new definition, because up to 50% of patients with transient stroke symptoms lasting 1 to 24 hours have negative DWI MRI.