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Phase 3 Cerebrovascu
Cerebrovascular Accident
| Question | Answer |
|---|---|
| Cincinnati Pre-Hospital stroke exam includes | Arm drift , Facial drooping , Slurred speech ... Any one deficit constitutes STROKE ALERT |
| With a onset of symptoms less than _ hours scene times should be _____ . Consider delay of procedures such as IV initiation until transport is under way | 2 ; Minimized |
| Onset of symptoms is defined as the ... | time last seen normal |
| Whenever possible a family member should _______ _______ ___ ______ | accompany Pt. to hospital |
| ______ can present as a localized neurological deficit, especially in the elderly | Hypoglycemia |
| What should be documented in the CVA Pt. | Witness info , symptom onset ,LAMS , and location of any missed IV's |
| Complete ____/____ worksheet | FAST/LAMS |
| Begin treating BP in the CVA PT. at | SBP over 230mmHg |
| Elevate head __ to __ degrees if no trauma present | 15-30 degrees |
| If BGL under 60 ?? | D50 12.5gm |
| Nausea / Vomitting | Zofran 4mg |
| If SBP over 230 ?? | Labetlol 5mg SLOW IVP repeat q 10 min until desired BP reached |
| Treat BP to ??? | 185 sys AND/OR 90 dys |