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