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Signs and Symptoms
Time is Brain!
Assessment
Treatment
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

This imaging test is the most definitive study in detecting acute ischemia.

What is MRI?

100
Our only Neuro endovascular surgeon

Who is Dr. Singer?

200

This type of stroke comprises approximately 85% of all strokes.

What is ischemic stroke?

200
These are the locations of the robot for teleneurology to beam in and assess the patients

Where is the ICU storage closet and ER Bay 11. 

200

In stroke assessment, this is the term for the last moment the patient was seen at their baseline before symptoms again

What is the last known well time?

200

Your patient has failed their swallow study, this is your next step

What is keep them NPO and await speech eval?
300
Name 3 risk factors for stroke
What are tobacco use, DM, alcohol overuse, HTN, HLD, medication compliance with anticoagulants, family history, prior history of stroke?
300

Door to needle time for TNK

What is 45 minutes?

300
This is when you should document an NIHSS
What is at any nurse handoff, during bedside shift report, upon neurological changes and at discharge?
300
24 hours is the treatment window for this intervention
What is endovascular thrombectomy?
400
Your inpatient has suddenly developed stroke like symptoms, this is your next step. 

What is call a rapid response?

400

This timeframe qualifies you for TNK administration 

What is last known well less than 4.5 hours

400

This standardized tool is used by nurses and healthcare providers to quantify the severity of a stroke and assess neurological function

What is the NIH stroke scale?

400

This intravenous medication is the gold standard for treating eligible patients with an acute ischemic stroke if given within a specific time window. 

What is TNK
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

In patients with an ischemic stroke this imaging technique is used to determine eligibility for clot removal. 

What is CTA?

500
"Great mimicker" of stroke that is usually checked with a finger stick
What is hypoglycemia?
500

This is when an artery is occluded and may require mechanical thrombectomy. 

What is Large Vessel Occlusion?