Acute Stroke 1 – initial eval
Posted On February 16, 2020
- History: sudden onset, Neuro deficit
- speech problem” repeat sentence, naming
- Facial droop
- weakness, check arm drift, rapid alternating movement, finger to nose
- Visual field, eye movement problem
- Onset: Get Time of Last known normal (LKN) from patient or family
- CT head stat: if it shows intracranial bleed
- Check glucose
- Do not drop BP
- Bed rest
Last Known Normal
- If < 3 hours, consider TPA
- If < 4.5 hours, TPA may still be possible
- If over 4.5 hours