How many Strokes are ischemic?
92%
82%
87%
39%
Stroke is...
Impaired perfusion to the heart
Just a silly goofy moment
DKA
Impaired perfusion to the brain
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
Hemorrhagic stroke is cause by uti
Hemmohagic is an embolus or a thrombus, ischemic is bleeding
Which of the following is a Non-Modifiable Risk Factor
Smoking
Age
Diabetes
Hypertension
How would you assess for responsiveness
Just questions
pain, commands
Just pain
commands, questions, pain
How do you assess vision changes in stroke?
Flick them in the eye
Make them read a novel outloud
Gaze and Visual Field
ask them to wink
How do you assess facial palsy
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
Smile, close eyes, raise eyebrows
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
Which shows decreased motor function in legs
Pt can hold leg up independently
Pt kicks you during assessment
Pt cannot do irish jig
Pt cannot hold leg up independently for 5 seconds
Limb ataxia can be described as
pt cannot do gang signs
sensory loss
neglect
weakness in one or more limbs
Decreased sensory can be described as
Pt has baseline neuropathy
The pt is touchy feely
Normal sensation
decreased feeling to pinprick or touch, or total loss
If a patient has aphasia they present with
sick beatboxing
decreased ability to speak, or cannot speak at all
Mumbo jumbo
Spanish speaking only
Dysarthia is
Mumbo Jumbo, pt can speak but does not make sense, slurred
Pt is mute
Pt is deaf
a psych pt with word salad
If the patient does not know their left arm exists this is
hyperglycemic
drunk
An amputee with an artificial limb
Neglect/inattention
How many Ivs should you get in a stroke patient
1 22g in the hand
2
IO
Use dialysis cath if applicable
Why is timeline important, LKW
Because youre nosey
Because your shift is almost over
Thrombolytic treatment
Because you have to drive an hour to New Hanover
