Interventions

Question 1

CEA

Answer 1

Carotid endarterectomy

Question 2

What is the stroke risk reduction after a CEA

Answer 2

2 year risk of stroke is reduced from 25% to 10%

Question 3

What is the treatment of choice for pts with 70% or more carotid stenosis?

Answer 3

CEA

Question 4

What is the post op management of CEA?

Answer 4

• BP management to reside the risk of reperfusion injury
• Neuro assessment for new ischemia
• Incision care

Question 5

What is CAS

Answer 5

Carotid Artery stenting

Question 6

Pts who under go CAS are at an increased risk of

Answer 6

Post op stroke
Death
MI

Question 7

Which patients are more appropriate for CAS?

Answer 7

Pts who are older or have a perioperative risk

Question 8

What are important nursing interventions before CAS?

Answer 8

Stop blood thinners

Baseline neuro assessment

Question 9

Post CAS nursing interventions

Answer 9

Monitor BP
Neuro assessments
Resp monitoring
Swallow assessment
Cranial nerve assessments
Incision site care
Assess for reprofusion syndrome
Pain control