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Which Stroke scale do you use?
 
Company policy
 
RACE
 
MEND
 
VAN
Why is timeline important, LKW
 
Thrombolytic treatment
 
Because youre nosey
 
Because you have to drive an hour to New Hanover
 
Because your shift is almost over
How many Ivs should you get in a stroke patient
 
2
 
IO
 
1 22g in the hand
 
Use dialysis cath if applicable
If the patient does not know their left arm exists this is
 
Neglect/inattention
 
An amputee with an artificial limb
 
drunk
 
hyperglycemic
Dysarthia is
 
Mumbo Jumbo, pt can speak but does not make sense, slurred
 
Pt is mute
 
a psych pt with word salad
 
Pt is deaf
If a patient has aphasia they present with
 
decreased ability to speak, or cannot speak at all
 
sick beatboxing
 
Mumbo jumbo
 
Spanish speaking only
Decreased sensory can be described as
 
decreased feeling to pinprick or touch, or total loss
 
The pt is touchy feely
 
Normal sensation
 
Pt has baseline neuropathy
Limb ataxia can be described as
 
weakness in one or more limbs
 
neglect
 
pt cannot do gang signs
 
sensory loss
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
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
How do you assess facial palsy
 
Smile, close eyes, raise eyebrows
 
Ask them to spit
 
Close pts eyes and tap their face, ask which side they feel
 
Say a joke and watch their smile when they laugh
How do you assess vision changes in stroke?
 
Gaze and Visual Field
 
Flick them in the eye
 
Make them read a novel outloud
 
ask them to wink
How would you assess for responsiveness
 
commands, questions, pain
 
pain, commands
 
Just pain
 
Just questions
Which of the following is a Non-Modifiable Risk Factor
 
Age
 
Hypertension
 
Smoking
 
Diabetes
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
Stroke is...
 
Impaired perfusion to the brain
 
Impaired perfusion to the heart
 
Just a silly goofy moment
 
DKA
How many Strokes are ischemic?
 
87%
 
92%
 
82%
 
39%


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