Stroke Flashcards
What are risk factors of a stroke
Family history smoking pregnancy diabetes arteriosclerosis drug abuse migraine seizure infection
What can mimic a stroke
Seizure hypoglycemia migraine with aura drug toxicity Wernickes encephalopathy
What are the warning signs of a stroke
Speech difficulty weakness vision loss dizziness FAST (Face, arm, speech, time)
What is the chain of survival
Detection dispatch delivery door data decision drug disposition
What are important history components for working up a stroke
Time since last known normal
seizure
Trama
medications
What are stroke assessment tools
And I H stroke scale
LA prehospital stroke screen
Cincinnati prehospital scale
What is included in prehospital care
02 (keep >94%)
IV NS (if hypotensive)
IV glucose (if <60)
obtain blood samples
What imaging do you need to work up a stroke patient
Noncontrast CT
Who gets TPA ischemic or hemorrhagic stroke patients
Ischemic
The goal is to have less than ____minutes until drug ministration for a stroke patient
60 min
What physical exam thing should you do for all stroke patients
ABC’s
vitals (oxygen saturation)
Trama survey
HEENT exam (neck and carotid bruits, hums I’ve)
CD/pulm: murmurs, arrhythmias, rails
skin: coaguloaphties, platelet orders, trauma neuro exam +stroke scale
What diagnostic studies must you perform on all stroke patients
Noncontrast CT or MRI glucose electrolytes BUN SCr CBC cardiac enzymes PT/INR EKG
What other diagnostic studies may you perform on select patients presenting with stroke symptoms
Liver function test toxicology screen blood alcohol level pregnancy test EEG LP
What is TPA inclusion criteria if less than three hours
Diagnoses of ischemic stroke
onset lesson three hours
greater than 18 years old
What are TPA exclusion criteria for stroke patient presenting less three hours
Significant head trauma prior stroke <3 months subarachnoid hemorrhage brain tumor aneurysm recent intracranial surgery elevated blood pressure active internal bleeding current anticoagulant
