Pediatric
What is the most accurate diagnostic test to dx stroke in Peds?
What is MRI
This stroke may just show loss of balance
What is a Cerebellar Stroke
From time of arrival to time code stroke is called is how long?
What is 10 minutes
80% of strokes are
What is preventable
Posterior strokes will often have balance issues vs facial droop.
True
Stroke to this part of the brain shows left side neglect
What is Right Hemisphere
This stroke has a sudden severe headache and neck stiffness
This stroke has a sudden severe headache and neck stiffness
When should the dysphagia screen be completed?
Prior to any oral intake
How do we know you are competent to take care of a stroke patient?
What is the NIHSS Certification
True or false the metric for door in and to door out for transfer is 80 min
False what is 90 min
what may be the first or only sign of stroke in a child?
What is a seizure
This stroke is an episode of neuro dysfunction caused by ischemia without infarction (obstruction of blood supply)
TIA also known as "Angina of the Brain"
Transient Ischemic Attack
NIHSS and ______ must be completed on all patients with stroke/ Neuro r/o.
What is Bed side swallow screen
This is the largest part of the brain
What is the Cerebrum
Door to scout metric is 25 min
True
Infants may exhibit a new ________ preference, which may be a sign of a stroke.
What is a Hand
This stroke may mimic Ischemic stroke and bleeds into the brain
What is Intracerebral Hemorrhagic Stroke
Door to TNK time is.?
60 min or less
What do you do when a patient develops stroke symptoms?
Figure out last known well time, check BP, check glucose, Call trigger
True or false you do NOT need to do an NIHSS on an intubated pt?
False, every patient must have a complete score
What is a better Pneumonic to use when assessing child for possible stroke?
What is B.E.F.A.S.T. .
This stroke may cause Locked-In Syndrome (patient can only use their eyes)
What is Brain Stem Stroke
What must be completed after TNK is given
Vital signs and Neuro check every 15 mins for 2 hours.... every 30 mins for 6 hours... and then every hour for 24 hours.
Which vital sign do we have guidelines for?
Blood Pressure
True or False, you should call a code stroke for a dizziness + 1 other Neuro Sx
True