SUSPECTED STROKE Identily sipns and symptoms or possible stroke Activate Emergency Respone Crtical EMS aeaments and actions ABCOnypen Prehospital stroke assessment Establish time of symptom onset Triage to stoke center Alert Hospital Check glucose Immediate general asessment and stabillzation Assess ABCVital signs Onygen VAccess and lab assessments Check gucose Activate stroke team Neurologic screening Emergent CT scaMRI of brain Obtain 12ead ECG Immediate neurologic assessment by stroke team or designee Review patient Nistory Establish time of symptom onset Neuorlogic examination Does CTcan show hemmorhage? Possible ischemic stroke Consult neurosurgeon or neurologist consider transfer Fibrinolytic therapy Fibrinolytic exclusions Repeat nuero eam Patient a candidate for fibrinolytic therapy Adnirister Aspirin Review risks with family Give rtPA Begin stroke or hemmorage pathway No anticoagulants or antiplatelet treatment for 24 hrs Admit to stroke unit or ICU Begin post-rtPA stroke pathway Begin post etPA stroke pathway Monitor BPand neurological changes Emergent admission to stroke unit or ICU
SUSPECTED STROKE Identily sipns and symptoms or possible stroke Activate Emergency Respone Crtical EMS aeaments and actions ABCOnypen Prehospital stroke assessment Establish time of symptom onset Triage to stoke center Alert Hospital Check glucose Immediate general asessment and stabillzation Assess ABCVital signs Onygen VAccess and lab assessments Check gucose Activate stroke team Neurologic screening Emergent CT scaMRI of brain Obtain 12ead ECG Immediate neurologic assessment by stroke team or designee Review patient Nistory Establish time of symptom onset Neuorlogic examination Does CTcan show hemmorhage? Possible ischemic stroke Consult neurosurgeon or neurologist consider transfer Fibrinolytic therapy Fibrinolytic exclusions Repeat nuero eam Patient a candidate for fibrinolytic therapy Adnirister Aspirin Review risks with family Give rtPA Begin stroke or hemmorage pathway No anticoagulants or antiplatelet treatment for 24 hrs Admit to stroke unit or ICU Begin post-rtPA stroke pathway Begin post etPA stroke pathway Monitor BPand neurological changes Emergent admission to stroke unit or ICU
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
From the stroke algorithm shown in picture give and explain the rationale for each of the action(s) stated inside the Gray Boxes. Make sure toindicateand citeyour source(s) accordingly.
Transcribed Image Text:SUSPECTED STROKE
Identify signs and symptoms or possible stroke
Activate Emergency Response
Critical EMS assessments and actions
ABC/Onygen
Prehospital stroke assessment
• Establish time of symptom onset
• Triage to stoke center
Alert Hospital
•Check glucose
DAtval
Immediate general assessment and stabilization
10
Assess ABCS/Vital signs
• Oxygen
VAccess and lab assessments
• Check glucose
Activate stroke team
• Neurologic screening
• Emergent CT scan/MRI of brain
• Obtain 12-lead ECG
DAval
25
Immediate neurologic assessment
by stroke team or designee
• Review patient history
• Establish time of symptom onset
• Neuorlogic examination
Does CT scan
show hemmorhage?
IDAntval
45
Possible ischemic stroke
• Fibrinolytic therapy
•Fibrinolytic exclusions
• Repeat nuero exam
Consult neurosurgeon
or neurologist:
consider transfer
Patlent a candidate
for fibrinolytic therapy?
NO
Administer Aspirin
DAval
60
Review risks with family
• Begin stroke or
hemmorage pathway
• Give rtPA
• No anticoagulants or antiplatelet
treatment for 24 hrs
Admit to stroke unit or ICU
DAntval
Begin post-rtPA stroke pathway
• Begin post-rtPA stroke pathway
•Monitor BP and neurological changes
•Emergent admission to stroke unit or ICU
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