How many Strokes are ischemic?
92%
39%
82%
87%
Stroke is...
Just a silly goofy moment
DKA
Impaired perfusion to the heart
Impaired perfusion to the brain
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 stroke is an allergic reaction
Ischemic is an embolus or thrombus, hemorrhagic is bleeding
Which of the following is a Non-Modifiable Risk Factor
Hypertension
Age
Smoking
Diabetes
How would you assess for responsiveness
Just questions
Just pain
commands, questions, pain
pain, commands
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
Close pts eyes and tap their face, ask which side they feel
Smile, close eyes, raise eyebrows
Say a joke and watch their smile when they laugh
Ask them to spit
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 kicks you during assessment
Pt can hold leg up independently
Pt cannot do irish jig
Limb ataxia can be described as
neglect
sensory loss
pt cannot do gang signs
weakness in one or more limbs
Decreased sensory can be described as
decreased feeling to pinprick or touch, or total loss
The pt is touchy feely
Pt has baseline neuropathy
Normal sensation
If a patient has aphasia they present with
sick beatboxing
Mumbo jumbo
Spanish speaking only
decreased ability to speak, or cannot speak at all
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
drunk
hyperglycemic
An amputee with an artificial limb
Neglect/inattention
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
Because your shift is almost over
Because youre nosey
Because you have to drive an hour to New Hanover
Thrombolytic treatment
