How many Strokes are ischemic?
39%
82%
92%
87%
Stroke is...
Impaired perfusion to the brain
DKA
Impaired perfusion to the heart
Just a silly goofy moment
What is the difference between ischemic stroke and hemorrhagic stroke?
Ischemic stroke is an allergic reaction
Ischemic is an embolus or thrombus, hemorrhagic is bleeding
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
Age
Hypertension
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
Flick them in the eye
ask them to wink
Gaze and Visual Field
How do you assess facial palsy
Smile, close eyes, raise eyebrows
Say a joke and watch their smile when they laugh
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 shakes your hand frimly
Pt can hold arm for 10 seconds without drift
Pt cannot hold arm with eyes closed for 10 seconds
Pt cannot do the macarena
Which shows decreased motor function in legs
Pt can hold leg up independently
Pt cannot hold leg up independently for 5 seconds
Pt kicks you during assessment
Pt cannot do irish jig
Limb ataxia can be described as
sensory loss
pt cannot do gang signs
neglect
weakness in one or more limbs
Decreased sensory can be described as
Pt has baseline neuropathy
decreased feeling to pinprick or touch, or total loss
The pt is touchy feely
Normal sensation
If a patient has aphasia they present with
Mumbo jumbo
Spanish speaking only
decreased ability to speak, or cannot speak at all
sick beatboxing
Dysarthia is
Pt is mute
a psych pt with word salad
Pt is deaf
Mumbo Jumbo, pt can speak but does not make sense, slurred
If the patient does not know their left arm exists this is
An amputee with an artificial limb
hyperglycemic
Neglect/inattention
drunk
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 you have to drive an hour to New Hanover
Thrombolytic treatment
Because youre nosey
Because your shift is almost over
