Stroke

Question 1

what are your differential impresions?

Answer 1

1. Ischemic stroke

• thrombotic
• embolic
• large vessel occlusion
• transient ischemic

2. Hemorrahagic stroke

• intracerebral
• subarachnoid
• epidural
• subdural

Question 2

Basic life support actions # 1

Answer 2

universal care guideline

Question 3

Basic life support actions # 2

Answer 3

patient safety guideline

Question 4

Basic life support actions # 3

Answer 4

Bg < 60 - diabetic emergency guideline

Dextrose may worsen neurological outcome in stroke- use cautiously

Question 5

Basic life support actions # 4

Answer 5

Perform lee county stroke assesment check list

Question 6

Fast stroke positive is a ?

Van stroke positive is a ?

Answer 6

stroke alert

van positive stroke alert

Question 7

stroke facility is determined by

Answer 7

clinical differential primary versus comprehensive

Question 8

Advanced life support actions / considerations # 1

Answer 8

• fluid resusucitation 10 ml kg iv io
• Pedi 20 ml / kg iv io

Fluid is aimed at maintaining cerebral perfusion

Question 9

Basic life support actions # 2

Answer 9

nausea vomiting guideline

antiemetic therapy is aimed at reducing intracranial

Question 10

Fast exam F

Answer 10

face- unilateral facial droop or palsy ?

Question 11

Fast exam A

Answer 11

arms- unilateral arm or pronator drift or weakness?

Question 12

fast s

Answer 12

Speach- slurred speach, difficulty speaking, or new onset confusion?

Question 13

Fast T

Answer 13

Time- last known well< 24 hours

Question 14

What contatutes stroke alert regarding fast exam?

Answer 14

any one of f.a.s.t =stroke alert

Question 15

Van exam V

Answer 15

visual - visual disturbandce,double vision, new onset blindness

Question 16

van exam A

Answer 16

aphasia-expressive , receptive, or mixed

Question 17

Van exam N

Answer 17

Neglect- forced gaze , inablility to track , or ignoring one side

Question 18

what constitutes a van positive stroke alert

Answer 18

any van boxed checked

Question 19

step 3 of stroke assesment envolves what?

Answer 19

time consideration and destination

Question 20

primary stroke center is for who

Answer 20

last known well <3.5 hours and no van fiindings

Question 21

comprehensive stroke center is for who?

Answer 21

last known well greater or equal to 3.5 hours but <24 hours or van positive

Question 22

Ischemic stroke includes what

Answer 22

thromoti and embolic stroke, large vessel occlusion stroke, and transient ischemic stroke

Question 23

hemoracgic stroke includes what ?

Answer 23

intracerebal , subarachnoid, epidural , and subdural hemorrhage

Question 24

how to perform hemorrhagic history and exam

Answer 24

1. worst headache ever?
2. severe nausea or vomiting?
3. acute hypertension
4. seiure preceding stroke like or focal neurologial deficits?
5. Sudden and unexplained depressed mental status?

Question 25

hemorrhagic box checked =

Answer 25

stroke alert

Question 26

Hemorrhagic stroke alert goes to what center

Answer 26

comprehensive or neurosurgical