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