Signs and Symptoms
Time is Brain!
Assessment
Treatment
Prevention
100

The acronym BEFAST which helps people remember the signs of stroke stands for

What is balance, eyes, face, arm, speech, time?

100
1.9 million neurons is the number of neurons lost during this amount of time
What is one minute during a stroke?
100
"Great mimicker" of stroke that is usually checked with a finger stick
What is hypoglycemia?
100
Name 3 main strategies for acute treatment of stroke.
What are acute thrombolysis with tPA, endovascular thrombectomy, blood pressure management?
100

Name 3 modifiable risk factors for stroke

What are tobacco use, DM, alcohol overuse, HTN, HLD, medication compliance with anticoagulants, family history, prior history of stroke?

200
This type of stroke comprises 87% of all strokes.
What is ischemic stroke?
200

Door to CT time should be les than....

What is 20 minutes

200
Focused history questions to ask concerning recent events
What are recent events like stroke, MI, trauma, surgery, bleeding? or "Last known well"
200
If patient eligible for tPA infusion, blood pressure should be consistently less than...
What is 185/110?
200

Name 2 non modifiable risk factors for stroke

What are Age, Race, Gender, Increasing Age, Previous stroke

300
Door to needle time should be less than...
What is 60 minutes?
300
Specific medication question to ask early in triaging patients with concern for stroke.
What is asking specifically about anticoagulants?
300
24 hours is the treatment window for this intervention
What is endovascular thrombectomy?
300
Etiology work up to prevent future strokes may include these diagnostic tests
What are vascular imaging, Echo, MRI brain, angiogram, genetic testing?
400
When all three of these signs of stroke are present, the sensitivity for stroke is approximately 90%
What are face droop, arm weakness, and slurred speech?
400

Less than 3 hours is the minimum treatment window for this type of treatment. More recent studies have shown benefit within 4.5 hrs.

What is acute thrombolysis with TNK?

400

Well validated stroke severity score used to assess for stroke, guide treatment, and determine prognosis. It is a requirement for stroke center certification.

What is the NIH stroke scale?

400

 Before administration of Tenecteplase (TNKase), these 3 things MUST be completed and documented in the medical record.

NIHSS score, CT Head (no hemorrhage), Inclusion/Exclusion Criteria Checklist. 

400
Name at least 3 treatable atherosclerotic stroke risk factors
What are HTN, DM, smoking, HDL? Others might include Afib, carotid artery stenosis.
500

Sudden onset of THIS symptom is associated with high suspicion of hemorrhage

What are sudden, severe headaches (worse HA of their life) especially with nausea/vomiting and/or obtundation?

500

A stroke can age the brain up to 20 years. True or false. 

False. A stroke can age the brain up to 36 years!

500
Three main medication options for antithrombotic therapy for secondary prevention of CVA are...
What are ASA, Plavix, and Aggrenox (ASA/dipyrimidole)?
500
For stroke recovery, this early intervention is recommended for improvement of deficits and prevention of long term disability.
What is Early mobilization?
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