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
Why is the “Last Known Well Time” important?
Helps determine patient treatment options and direct patient transport
When do you document symptoms, when do you document?
The last time the patient was symptom free
