STROKE

What historical clues might suggest a patient is at risk for stroke?

• Hypotension

• Previous lung disease

• Renal failure

• Diabetes only

Why is the "last known well time" crucial in stroke treatment?

• It determines the patient's age at onset.

• It indicates the patient's last meal time.

• It helps in identifying the time of symptom onset.

• It specifies the time of the last hospital visit.

Which components make up the FAST Cincinnati Prehospital Stroke Scale?

• Face, Arm, Speech, Temperature

• Facial droop, Arm drift, Speech, Time

• Finger movement, Abdominal pain, Sight, Tremor

• Fatigue, Appetite, Sensation, Tinnitus

When should expedited transport be considered for a suspected stroke patient?

• If the patient is conscious

• If the last known well time is less than 6 hours

• If the last known well time is less than 4.5 hours and the patient is otherwise stable or unstable

• 1. If the patient has a fever

What is considered an abnormal response in the facial droop test?

• Both sides of the face move equally

• One side of the face does not move as well as the other

• The patient is unable to speak

• The patient's arms drift downward

What action should be taken if a patient's blood glucose level is below 60 mg/dl?

• Administer thrombolytic therapy immediately

• Correct the hypoglycemia per protocol

• Ignore it as it's not relevant to stroke management

• Increase the patient's fluid intake

Why is it important to monitor the patient's level of consciousness and vital signs frequently during stroke management?

• To ensure the patient remains unconscious

• To detect changes in condition early for timely intervention

• To assess the effectiveness of pain medication

• To keep track of the patient's fluid intake

What is the rationale behind keeping the patient NPO (nothing by mouth) in stroke management?

• To prevent aspiration in case of impaired swallowing function

• To reduce the risk of dehydration

• To induce fasting for better medical outcomes

• To prepare the patient for surgery

How should you proceed if a patient presents with altered mental status alongside stroke symptoms?

• Administer sedatives to calm the patient down

• Focus solely on managing the altered mental status

• Immediately assess and stabilize airway, breathing, and circulation while concurrently managing stroke symptoms

• Disregard the altered mental status as it's not relevant to stroke management

What role does elevating the patient's head play in stroke management?

• It increases intracranial pressure

• It worsens cerebral perfusion

• It helps reduce intracranial pressure and improve cerebral perfusion

• It has no impact on stroke management