STROKE/SYNCOPE

Question 1

What are the signs/symptoms of a stroke?(3)

Answer 1

• facial weakness - smile? mouth or an eyelid dropped
• arm weakness - can you raise both arms?
• speech problems - speak clearly and understand what is being said
  TEST ALL 3 SYMPTOMS

Question 2

What is the following treatment for a stroke?(5)

Answer 2

• ABCDE approach
• call 999
• ensure that the airway is patent - may ne necessary to place into recovery position
• administer 02 15lts/min
• DO NOT OFFER ANYTHING TO EAT OR DRINK

Question 3

What are the signs and symptoms of vasovagal syncope(3)

Answer 3

• feels faint/dizzy/ light headed
• pt may collapse and loss of consciousness
• pallor, sweating, slow pulse, low BP, nausea/vomiting

Question 4

What is the treatment of a syncope episode(4)

Answer 4

• lie flat and elevate pts legs (pregnant pt should be placed on her side , this prevents the feotus from compressing the inferior vena cava)
• loosen tight clothing
• admin o2 15lts/min
• if becomes unresponsive check for signs of life

Question 5

What is the ABCDE approach for a syncope episode

Answer 5

OVERSTIMULATION OF THE VAGUS NERVE
A - patent
B - increase RR ( more than 25). decrease in Sp02, shallow breathing
C - low HR, (less than 60bpm), hypotension (90/60), pallor
D - pt alert but anxious, low blood glucose potentially
E - distressed, flustered