And Answers
the HR is 92/min RR is 14/min, BP is 130/86 mmhg, spo2 is 97% and atrial fibrillation is
on the monitor
what additional assessment and stabilization activities should be completed ? - Answer-
check glucose, perform validated prehospital stroke screen and stroke severity tool,
provide prehospital notification to the receiving hospital, initiate stroke protocol,
establish time of symptom onset ( last known normal)
/.what needs to be completed for this patient within 20 minutes after hospital arrival? -
Answer-neurological assessment
/.what are some of the general questions you need to ask? - Answer-do you take any
medications? when did the symptoms start? do you have allergies? what other
symptoms do you have?
/.within 45 minutes the neuroimaging interpretation of the CT scan of the brain suggests
an acute ischemic infarction. There are no signs of hemorrhage or mass lesions.
is this patient a potential candidate for fibrinolytic therapy? - Answer-Yes
NOT Not enough information
/.what actions should the hospital staff take to determine whether the pt is a candidate
for fibrinolytic therapy? - Answer-repeat the neurological exam
NOT obtain an MRI of the brain for confirmation of hemorrhage
/.you find that the patient's neurological function is rapidly improving. Is this patient still a
candidate for fibrinolytic therapy? - Answer-no
/.because this patient is no longer a candidate for fibrinolytic therapy, what are the next
steps? - Answer-support airway,breathing, and circulation (ABCs), begin stroke
pathway, admit the patient to an intensive care unit
/.what initial action should be taken (respiratory ) - Answer-check for responsiveness,
assess airway, breathing, and circulation, call for additional help
/.the patient is unresponsive and not breathing but has a strong pulse. What should your
initial actions include? - Answer-open the patient"s airway via a head tilt-chin lift or jaw
thrust, initiate VE with a bag mask device attached to supplemental oxygen