What are some stroke mimics?
Hypo/hyperglycaemia Intoxication Syncope Seizure Electrolyte disturbances Migraine Brain injury /subdural Brain tumour
What are the main management protocols?
Rule out stroke mimics, ascertain when symptoms started. Maintain adequate airway and ventilation.
Support affected limbs
Provide analgesia if sever headache
What are some signs that would suggest a haemorrhagic stroke?
Onset of severe headache Nausea and vomiting Gcs less than 10 Brady and hypo Pupils abnormal Abnormal breathing
What is the time frame for thrombolysis treatment?
4.5 hours from onset of symptoms.
What are the 4 main assessments in stroke?
FACIAL DROOP
Get patient to smile
SPEECH
Are the slurring?
HAND GRIP
Can you reach up and squeeze my hands?
BGL
Rule out hypoglycaemia