Patient in there 70s CC of not acting right. History of hypertension, 3 past TIAs, and diabetes type 2. Vitals as followed HR 108 and irregular BP 230/139 RR 9 O2 95% on Ra BGL was 105. Patient was mixing up words, was confused, and limping around. Got her to sit down the established a line, paramedic did a ECG and said it was AFib with RVR, proceeded to ask a few more questions to family and hasn't seen her in a few hours just got back from shopping. So we packed up patient and went to closest stroke center got there in about 15minutes. Another stressful call... I feel bad that the family member has had already 3 scares and this 1 may have been the nightmare they were expecting.