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