Neurological

Question 1

What medications should be avoided in pts w/ concerns for ICH or a traumatic cause of headache?

Answer 1

NSAIDs (Ibuprofen and toradol)

Question 2

What is the treatment for cluster/CO headaches?

Answer 2

Oxygen, 15lpm NRB

Question 3

Is Acetaminophen listed as a treatment option under the headache algorithm?

Answer 3

No

Question 4

What class of medications is given for active seizures?

Answer 4

Benzodiazepines

Question 5

If generalized seizure is uncontrolled with benzodiazepine administration AND there is imminent respiratory compromise, what should be considered?

Answer 5

MAAM

Question 6

What could be two possible causes of seizures in patients over 50?

Answer 6

Dysrhythmias or stroke

Question 7

What medication is given to eclampsia patients?

Answer 7

Magnesium sulfate

Question 8

For stroke patients, what angle should the head of bed ideally be during transport?

Answer 8

30*

Question 9

What does BEFAST stand for?

Answer 9

Balance, eyes, face, arms, speech, time

Question 10

Where should a highly suspected hemorrhagic stroke patient go?

Answer 10

Closest neurosurgical capable hospital (Central)

Question 11

Where should a stroke patient w/ onset <4hours go?

Answer 11

Closest thrombolytic capable hospital (Regional or Central, depending on location in district)

Question 12

Where should a stroke patient w/ onset 4-24 hours go?

Answer 12

Closest neurointerventional hospital (central)