SCRN study guide: hyperacute care Questions And Answers 100% Pass.

Communicate effectively with pre-hospital personnel. - Answer When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be emphasized in the community. The greatest time delay is from symptom onset to ED arrival. EMS alerts the hospital, advance notification by EMS has shown to increase the use of TpA EMS evaluation primary goals - Answer Obtain last seen normal Obtain blood glucose ABCD score - Answer A: age B: blood C: clinical features D: Duration of TIA symptoms Establish ABC's - Answer Airway -Breathing: O2 for SpO2 94% Circulation: ECG, BP assessment & IV/Labs (√BG) D (Neuro): NIHSS or Canadian Neurological Scale (CNS), Neuro Exam & Neuro MD Posterior stroke - Answer There are important differences between posterior and anterior circulation stroke. The differences include the value of screening instruments, optimum diagnostic modalities, and clinical features. The face arm speech test (FAST), a widely used prehospital stroke recognition screening instrument, is less sensitive for detecting posterior circulation stroke than for anterior circulation stroke Symptoms of Posterior Circulation Stroke - Answer Motor deficits (weakness, clumsiness, or paralysis of any combination of arms and legs, up to quadriplegia, sometimes changing from one side to another in different attacks) "Crossed" syndromes, consisting of ipsilateral cranial nerve dysfunction and contralateral long motor or sensory tract dysfunction are highly characteristic of posterior circulation stroke