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