Stroke

Question 1

-If the onset of symptoms or last known normal time is within 4.5 hour, triage as ESI level

Answer 1

1

Question 2

If the inset of symptoms or last known normal time is greater than 4.5 hours, triage as level

Answer 2

2

Question 3

What are the initial protocols of stroke?

10

Answer 3

Check capillary glucose
STAT non-contrast Brain CT (ordered by MD) 
Assessment ABC’s, vital signs
EKG
Labs; CBC, platelet, PT, PTT, BMP
NIH stroke scale
t-PA inclusion / exclusion criteria (MD) 
Swallow screen before anything PO 
Elevate head of bed
Patent IV access

Question 4

What are the initial requirements of the physician in a stroke patient?
(4)

Answer 4

Order required testing; CT/CBG
Perform initial NIHSS
Consult with neuro/teleneuro
Order t-PA/ BP control medications