Stroke/CVA Flashcards
what kind of patient history should you get?
- OPQRST/SAMPLE
- Hx of CVA/TIA
- Medications (blood thinners)
- Hx of HTN, HLD, diabetes
- Hx of A-Fib, MI, blood clots
- Previous cardiac/vascular surgeries
- Hx of head trauma, intracranial bleed
What kind of s/s should you look for?
- AMS, Syncope, Dizziness
- Weakness/paralysis
- Vision or sensory loss
- Headache
- Seizure
- Hyper/hypotension
- Aphasia or Aphagia
What are the guidelines for SL1?
- General patient care
- Airway management/ O2
- Onset of symptoms
- BGL
- CPSS
What do you need to establish about onset of symptoms?
Last known time the patient was symptom free
When do you treat a pt IAW diabetic emergencies protocol?
If <60mg/dL
What is CPSS?
Cincinnati
Pre-Hospital
Stroke
Stress
What are you looking for in the CPSS?
- Facial droop
- Arm drift
- Speech abnormality
- Time of onset
What are the guidelines for SL2?
- Minimize scene time
- Initiating “Stroke Alert”
- Elevating head
- Cardiac monitoring and 12 lead EKG
What should scene time be?
<10 min
When do you initiate the “stroke alert”?
- CPSS exam positive
- BGL >50mg/dL
- Onset of symptoms within 6 hours
When should you elevate head of the stretcher?
If SBP >110mmHg
What degrees should you put the head of the stretcher?
15-30 degrees
What should you maintain when lifting up the head of the stretcher?
Maintain head/neck in neutral alignment
What are the guidelines for SL3?
Vascular access
What equipment is recommended?
Twin-Cath and one large bore IV
