CC Jan 2016 Dysphagia following acute stroke

echoecho's version from 2016-03-21 01:51


Question Answer
The rates of reported medical complications after stroke are very high. At least one medical complication occurs in about ____% of patients?95
One of the most serious posts trike complications is what, and is the most common cause of fever within the first 48 hours of acute stroke? Pneumonia
Aspiration due to stroke related Dysphagia or decreased consciousness is the cause in almost ____% of patients?60
Early detection of dysphagia in acute stroke patients not only reduces these complications but also reduces what?Hospital stay and overall health costs
Because of this high risk, what have been developed and recommended for all patients who arrive with acute stroke symptoms?screen protocols
These recommendations focus on identification of oropharyngeal dysphagia. What is this?swallowing impairment of the upper digestive tract
What is the initial screening test commonly done on all new stroke patients which can be done with only basic clinical swallow training?simple water swallow test
Cough and voice change have what sensitivity, but high specificity for predicting aspiration?low to moderate sensitivity
If the presence of dysphagia is susoectrdm who performed a more comprehensive test at bedside?a trained swallowing clinician
What does the above comprehensive test consist of?assessment of the cranial nerves along with swallowing trials using a variety of texture modified liquids and solids. The results of this assessment may indicate further need for further testing with instrumentation
What is the most common instrumentation test and describe what it shows?1) video-fluoroscopy 2) shows the physiology in movement from the patient's lips to the esophagus and captures even minor movement abnormalities or frank aspiration. However, testing may overestimate dysphagia, as it cannot differentiate pathological findings from motility changes of normal aging.
*** To minimize the risk of aspiration pneumonia in new stroke patients, all patients should receive what before being given anything orally?screening for dysphagia
As part of set nursing protocols, patients should be monitored ______ for dysphagia, especially during the first week, to identify rate of recovery?daily
It is recommended that all observations should be carefully recorded in the patient's chart and care plans to do what? monitor progression or improvement
*** SUMMARY = What is the cause of pneumonia in almost 60% of patients with acute stroke?1) aspiration due to stroke related dysphagia. 2) decreased consciousness
*** SUMMARY = Early detection of ________ in acute stroke patients not only reduces this complication but also reduces length of hospital stay and overall healthcare costs?dysphagia
*** SUMMARY = What evaluation is needed for patients who have initial screening tests suggestive of dysphagia?a more comprehensive swallowing evaluation