How many Strokes are ischemic?
92%
87%
82%
39%
Stroke is...
Just a silly goofy moment
Impaired perfusion to the heart
Impaired perfusion to the brain
DKA
What is the difference between ischemic stroke and hemorrhagic stroke?
Ischemic is an embolus or thrombus, hemorrhagic is bleeding
Ischemic stroke is an allergic reaction
Hemmohagic is an embolus or a thrombus, ischemic is bleeding
Hemorrhagic stroke is cause by uti
Which of the following is a Non-Modifiable Risk Factor
Diabetes
Hypertension
Smoking
Age
How would you assess for responsiveness
Just questions
pain, commands
commands, questions, pain
Just pain
How do you assess vision changes in stroke?
Gaze and Visual Field
Make them read a novel outloud
ask them to wink
Flick them in the eye
How do you assess facial palsy
Ask them to spit
Say a joke and watch their smile when they laugh
Close pts eyes and tap their face, ask which side they feel
Smile, close eyes, raise eyebrows
Which one would show decreased motor function in arm
Pt cannot do the macarena
Pt can hold arm for 10 seconds without drift
Pt cannot hold arm with eyes closed for 10 seconds
Pt shakes your hand frimly
Which shows decreased motor function in legs
Pt kicks you during assessment
Pt cannot hold leg up independently for 5 seconds
Pt can hold leg up independently
Pt cannot do irish jig
Limb ataxia can be described as
pt cannot do gang signs
weakness in one or more limbs
neglect
sensory loss
Decreased sensory can be described as
The pt is touchy feely
Normal sensation
decreased feeling to pinprick or touch, or total loss
Pt has baseline neuropathy
If a patient has aphasia they present with
decreased ability to speak, or cannot speak at all
sick beatboxing
Spanish speaking only
Mumbo jumbo
Dysarthia is
Pt is mute
Pt is deaf
a psych pt with word salad
Mumbo Jumbo, pt can speak but does not make sense, slurred
If the patient does not know their left arm exists this is
hyperglycemic
drunk
An amputee with an artificial limb
Neglect/inattention
How many Ivs should you get in a stroke patient
2
Use dialysis cath if applicable
1 22g in the hand
IO
Why is timeline important, LKW
Thrombolytic treatment
Because you have to drive an hour to New Hanover
Because youre nosey
Because your shift is almost over
