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