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Neurovascular Emergencies

Author: Dana Bartlett, RN, MA, MSN

Duration: 5 hours

Course Summary

This course will be updated or retired on or before 1/23/2017

The diagnosis of a neurovascular accident is multifactorial. It involves recognition of associated risk factors as well as signs and symptoms, which does not always guarantee a correct diagnosis. Depending on the neurovascular event, some injuries become more apparent after the actual neurovascular event occurs. Some signs are acutely severe and immediate while others can be subtle, making neurological injury diagnosis difficult and possibly delayed. Treatment with anticoagulants or thrombolytic agents is discussed, including inclusion and exclusion criteria for administration. The complications of a neurovascular accident are reviewed.

Course Format


Course Syllabus

  1. Introduction
  2. Neurovascular Anatomy
    1. Frontal Lobe
    2. Occipital Lobe
    3. Temporal Lobe
    4. Parietal Lobe
    5. Cerebellum
    6. Brainstem
    7. Cerebral Vasculature
  3. Transient Ischemic Attack
    1. Statistics
    2. TIA Etiology and Pathophysiology
      1. Thrombosis or obstruction
      2. Embolism
      3. Decreased systemic perfusion
    3. TIA Risk Factors
    4. TIA Signs and Symptoms
    5. Conditions That Mimic TIA
    6. Evaluation and Treatment
      1. Evaluation
      2. Treatment
  4. Stroke
    1. Classification of Stroke
    2. Statistics
    3. Pathophysiology and Causes of Ischemic Stroke
    4. Risk Factors for Ischemic Stroke
      1. Non-modifiable
      2. Modifiable
    5. Signs and Symptoms
  5. Hemorrhagic Stroke
    1. Statistics
    2. Pathophysiology and Etiology of Hemorrhagic Stroke
      1. Hypertension
      2. Cerebral amyloid angiopathy
      3. Anticoagulant therapy
      4. Thrombolytic therapy
    3. Risk Factors for Hemorrhagic Stroke
    4. Signs and Symptoms of Hemorrhagic Stroke
  6. Evaluation Of The Stroke Patient
    1. Stabilization of ABCs
    2. History and Physical Examination
      1. Brain and vascular imaging
  7. Subarachnoid Hemorrhage And Stroke
    1. Causes and Risk Factors
  8. Treatment Of Ischemic Stroke
  9. Thrombolytic Therapy
  10. Other Aspects of Stroke Care
    1. Anticoagulation
    2. Platelet Inhibition
    3. Statins
    4. Induced Hypothermia
    5. Carotid Endarterectomy
    6. Stroke Centers
    7. Antibiotics
    8. DVT Prevention
    9. Swallowing Assessment
    10. Mobilization
    11. Indwelling Urinary Catheter
    12. Stroke Prevention Measures
  11. Treatment Of Hemorrhagic Stroke
  12. Treatment Of Subarachnoid Hemorrhage
  13. Summary


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