How many Strokes are ischemic?
82%
92%
39%
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?
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
Smoking
Diabetes
Hypertension
Age
How would you assess for responsiveness
Just pain
Just questions
pain, commands
commands, questions, pain
How do you assess vision changes in stroke?
Make them read a novel outloud
ask them to wink
Gaze and Visual Field
Flick them in the eye
How do you assess facial palsy
Ask them to spit
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
Which one would show decreased motor function in arm
Pt cannot hold arm with eyes closed for 10 seconds
Pt cannot do the macarena
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
neglect
sensory loss
weakness in one or more limbs
pt cannot do gang signs
Decreased sensory can be described as
decreased feeling to pinprick or touch, or total loss
Pt has baseline neuropathy
The pt is touchy feely
Normal sensation
If a patient has aphasia they present with
Spanish speaking only
decreased ability to speak, or cannot speak at all
Mumbo jumbo
sick beatboxing
Dysarthia is
Pt is deaf
a psych pt with word salad
Pt is mute
Mumbo Jumbo, pt can speak but does not make sense, slurred
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
Use dialysis cath if applicable
2
1 22g in the hand
IO
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
