Adult Stroke

Question 1

Adult Stroke - Initial actions

Answer 1

O2 if <94%
BGL
Stroke Screen

Question 2

Adult Stroke - Stroke screen red findings

Answer 2

Unresponsive or responsive only to pain
Arm drifts or falls rapidly
Leg falls rapidly
No grip strength
Aphasic or dysphasic

Question 3

Adult Stroke - LAMS score facial findings and score

Answer 3

Normal = 0
Droop = 1

Question 4

Adult Stroke - LAMS score hand grip findings and score

Answer 4

Normal = 0
Weak = 1
None = 2

Question 5

Adult Stroke - LAMS score arm strength findings and score

Answer 5

Normal = 0
Drifts = 1
Falls rapidly = 2

Question 6

Adult Stroke - BGL 3 or less

Answer 6

D50W 12.5 g IV

Question 7

Adult Stroke - Transport to stroke centre for these criteria

Answer 7

Red finding < 6 hr or awoke with symptoms

Question 8

Adult Stroke - D50W indication

Answer 8

Stroke with symptomatic hypoglycemia

Question 9

Adult Stroke - D50W dose

Answer 9

12.5 g SIVP/IO

Consider additional 12.5 g D50W if BGL remains < 3.0 mmol/L

Question 10

Adult Stroke - D50W EMS contraindications

Answer 10

Allergy to corn or corn products

Question 11

Adult Stroke - D50W Precautions

Answer 11

Ensure patency of IV site after half of dose is administered

The maximum clinical effect from IV Dextrose is 5 minutes