Stroke Booklet 1 | Page 14

• Detect damage to arteries due to injuries. After the Procedure Note: this procedure is dangerous for people with pacemakers. Be sure your physician or technologist knows if you have a pacemaker. • If you were injected with contrast medium, drink plenty of fluids to help flush it from your system. • Your doctor will discuss the results with you when they are ready. Before You Have MRA Echocardiography (Echo) The magnet used in MRA can cause metal objects in your body to move or heat up. Metal can also distort the image. Be sure to tell the radiologist or technologist if you: An echocardiogram (echo) is an imaging test. It helps your doctor evaluate your heart. This test: • Have a metal plate or pins, an artificial joint, staples or screws, or other metal implant. • Have a bullet or other metal in your body. • Work with metal. • Have tattoos (some inks contain metal). • Have braces. • Is safe and painless. • Can be done in a hospital, test center, or doctor’s office. • Bounces harmless sound waves (ultrasound) off the heart. A transducer (device that looks like a microphone) is used. • Helps show the size of your heart. It also helps show the health of the heart’s chambers and valves. Also tell the technologist if: • You are, or think you may be, pregnant. • You are allergic to contrast medium (x-ray dye) or any medications. • You wear a medicated adhesive patch. Before Your Echo During the Procedure • Discuss any questions or concerns you have with your doctor. • Mention any over-the-counter or prescription medication, herbs, or supplements you’re taking. • Wear a two-piece outfit for the test. You may be asked to remove clothing and jewelry from the waist up. If so, you’ll be given a short hospital gown. • Remove hair clips, jewelry, dentures, and other metal items that could affect the image. You may also be asked to remove makeup, which can contain metal. • You may change into a hospital gown. An IV (intravenous) line may be set up. • You will lie down on a platform that slides into the MRI machine. • At times, the magnet may be within a few inches of your face. It is normal for the MRI machine to make loud knocking noises during some parts of the exam. • Several studies may be done. Contrast medium may be injected into a vein through an IV line for some of the studies. • The whole procedure may take 30 to 90 minutes. During Your Echo • Most echo tests take 20 to 30 minutes. • Small pads (electrodes) are placed on your chest to monitor your heartbeat. • A transducer coated with cool gel is moved firmly over your chest. This device creates the sound waves that make images of your heart. • At times, you may be asked to exhale and hold your breath for a few seconds. Air in your lungs can affect the images. • The transducer may also be used to do 13 Other Recovery Considerations What Are Your Risk Factors? Risk factors are different for each person. Check the boxes that apply to you. Keep in mind that some factors, such as your age, can’t be changed. But others CAN be managed. Managing Bowel and Bladder After a stroke, you may not be able to control your bladder and bowels. The nursing team will work closely with you to set up a routine. Absorbent briefs or urinary catheters may be used during the transition. Health Risk Factors o o o o o o o Mood Swings and Depression After a stroke, a patient may feel sudden or extreme emotions. Sadness and depression are common. These feelings may be due to damage to areas of the brain, or they may in response to the awareness of the stroke. Mood swings are also very common. You may feel loss of control of your emotions. You have high blood pressure. You’re overweight. You have unhealthy cholesterol levels. You have atrial fibrillations. You’ve had a heart attack. You have narrowed arteries. You have diabetes. Lifestyle Risk Factors o o o o Tips: • Stay calm. Accept the behavior and go on with what you were doing. • Recognize that the behavior is a result of the stroke. • Do not criticize yourself. • \??[?\????Y?YYX?][??[?[??YX?HH\?\??[????(?H?^HX?]?K?^H?[Y\??]???\?[???]\?X???(?H?\?]?]?\???[????[?H?\?[H^\??\?K??[?H?[?X]?[K??YY ??X\?H?????[?H?[??K??[?H]?H[?H[? ?[???X??[???\??^K???Y?H[??[Z[H\??B??H[?x?&\?H?\?Y?H ? ???HH\?[? ???\???\?\?\?YB?????K???Y]X??X??[???YH?Z\?\??\?[?H?H?X???X??H]?[?H]?[??X\?Y?\???????K??]]?[?? ???[?H??\?Z[??\???X??? H??][???[YY]X??X??[???YJH][\Y\?[?\???\??\?H?X???[??YH??]X??ZY??\??[?[?\??Z\? Y?????\??\?K?Y?????Y?\?[?[?X[H??\?\???]?[?Y?[?H]?H[?H?\?H?\???X?????H?\?H?[??[?\?X[?\?H??Y\????????H?]?[?[???\???X?????????B??\?Z[?X[[?Y?\?[H\??Y\?8?$??[Y??\???X???8?$?[??X\?H[?\??[??\??]?[??H????K?HXY[???\???X????????B?\?Y?????\??\?K??]\?H\?HX[?B??\??X???][??][?H]?\??\?Y?H[?[?HY[?Y?H?X??\???X???[?H]?K?]?^K[?H????\?H[?B??YY?XZ?HX[H?[??\?[??[?\??X[?\?H??Y\?X??]?^\??[??YX?H[?\??\???X?????N??