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