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