Stroke

Question 1

Positive CPSS with a positive VAN and onset of < 8 hours

Answer 1

• Comprehensive Stroke Center via air if transport is > 45 minutes
• Comprehensive Stroke Center via ground if transport is < 45 minutes

Question 2

Positive CPSS with positive VAN and onset > 8 hours

Answer 2

Primary Stroke Center

Question 3

Positive CPSS and negative VAN

Answer 3

Primary Stroke Center

Question 4

Positive CPSS and negative VAN

Answer 4

Primary Stroke Center

Question 5

Comprehensive Stroke Center in Polk County

Answer 5

Lakeland Regional Medical Center

Question 6

Primary Stroke Center in Polk County

Answer 6

AdventHealth Heart of Florida

Question 7

For a pt with a verified ischemic stroke and tPA eligible with a BP of > 185/110, what two drugs and at what dose can be given during transport?

Answer 7

• 10mg IVP Labetelol over 2 minutes, and can be repeated two times
• 5mg Metoprolol IVP over 2 minutes and can be repeated three times (Max Dose: 15mg)

Question 8

For a pt with a suspected stroke and a blood pressure of 220/110, what two medications are available to be given during transport?

Answer 8

• 10mg IVP Labetelol over 2 minutes and can be repeated two times
• 5mg Metoprolol IVP over two minutes and can be repeated three times (Max Dose: 15mg)

Question 9

For a pt with a verified ischemic stroke but is not tPA eligible, what is the correct course of treatment during transport?

Answer 9

Monitor, transport, and NIH if appropriate