What is a Stroke?
This is the leading cause of disability and one of the leading causes of death.
Stroke
This is the percentage of ischemic strokes (compared to hemorrhagic strokes).
Approx. 85%
This is the most common stroke mimic
Hypoglycemia
These are important medications to ask about when bringing a patient in with concern for stroke.
Anticoagulation (warfarin, Xarelto, Eliquis, etc)
Antiplatelets (aspirin, Plavix)
Blood pressure meds (lisinopril, amlodipine, losartan, etc.)
Anti-seizure medications (Keppra, Lamictal, etc.)
The only medication to treat acute ischemic stroke is called this.
TPA, thrombolysis, alteplase, TNK.
A blood clot to the brain is this type of stroke.
Ischemic
BEFAST stands for this
Balance, Eyes, Face, Arm, Speech, Time
Adult patients with first-time seizure should be evaluated for this.
Stroke. Stroke is the leading cause of seizures in adults.
In order to find important medical history in the electronic health record, this information must be shared with ED providers.
Patient's name and date of birth.
This is the general time window for thrombolysis to be given.
4.5 hours from LKW.
This is one of the leading causes of non-traumatic intracranial hemorrhage.
Hypertension
Your patient is complaining of sudden onset, worst headache of their life. You immediately suspect...
Subarachnoid hemorrhage
Todd's paralysis or post-ictal paraylsis
A patient is unable to speak and a family member called EMS. The next step is for EMS to do this.
Obtain contact info for the family member.
Saying "they are coming" does not help with making quick treatment decisions.
This is the timeframe for which thrombectomy can be performed.
24 hours from LKW
These are common risk factors for stroke.
High blood pressure, high cholesterol, diabetes, age, atrial fibrillation
Generalized weakness and/or confusion that is not sudden in onset is a sign of stroke: True or False
False -- This is typically something else
A young woman with history of headaches calls EMS for numbness, tingling and headache similar to her others. This is the most likely diagnosis.
Complex migraine.
Last known normal means this.
When the patient was last seen normal, NOT when they were found with symptoms.
A patient is identified as having a hemorrhagic stroke. This is the initial SBP goal.
SBP <140
A woman with headache, nausea, vomiting and new stroke-like symptoms should be immediately evaluated for this.
Cerebral venous sinus thrombosis
Strokes happen fast. These are the sudden symptoms.
Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body; sudden trouble speaking, or difficulty understanding speech; sudden vision loss in one or both eyes; sudden loss of balance or trouble walking; sudden severe headache with no known cause.
Sudden onset of stroke-like symptoms, whatever the presumed cause, should be immediately evaluated, especially if new. True or False.
True -- stroke is an emergency with a limited treatment window and we can figure out the rest once we've ruled out stroke.
A patient went to bed in normal state of health around 9:30pm. They then woke up around 8am with left-sided weakness. The patient's family found the patient at 9am. This is the last known normal.
9:30pm
Time is brain means this.
1.9 million neurons are lost each minute.