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