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Stroke for EMS
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Which Stroke scale do you use?
Company policy
RACE
MEND
VAN
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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
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How many Ivs should you get in a stroke patient
2
IO
1 22g in the hand
Use dialysis cath if applicable
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If the patient does not know their left arm exists this is
Neglect/inattention
An amputee with an artificial limb
drunk
hyperglycemic
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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
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If a patient has aphasia they present with
decreased ability to speak, or cannot speak at all
sick beatboxing
Mumbo jumbo
Spanish speaking only
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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
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Limb ataxia can be described as
weakness in one or more limbs
neglect
pt cannot do gang signs
sensory loss
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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
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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
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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
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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
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How would you assess for responsiveness
commands, questions, pain
pain, commands
Just pain
Just questions
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Which of the following is a Non-Modifiable Risk Factor
Age
Hypertension
Smoking
Diabetes
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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
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Stroke is...
Impaired perfusion to the brain
Impaired perfusion to the heart
Just a silly goofy moment
DKA
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How many Strokes are ischemic?
87%
92%
82%
39%
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