ACLS STROKE QUESTIONS AND ANSWERS
2025
out-of-hospital,acute,stroke,care,focuses,on:,-,ANSWER,-
,rapid,ID,and,assessment,of,pts,with,stroke
-,rapid,transport,w/,prearrival,notification,to,facility,capable,of,providing,acute,stroke,care
in-hospital,acute,stroke,care,-,ANSWER,-
,ability,to,rapidly,determine,pt,eligibility,for,fibrinolytic,therapy
-
,admin,of,fibrinolytic,therapy,to,appropriate,candidates,,with,availability,of,neurologic,medical,s
upervision,within,target,times
-,consideration,of,new,treatment,options,like,endovascular,therapy
-,initiation,of,stroke,pathway,and,pt,admission,to,stroke,unit,if,available
potential,arrhythmias,with,stroke,-,ANSWER,-,ECG,does,not,take,priority,over,obtaining,CT,scan
-,no,arrhythmias,specific,for,stroke
-,but,may,identify,evidence,of,recent,AMI,or,arrhythmias,such,as,a-fib,as,cause,of,embolic,stroke
-,most,will,not,require,treatment,if,hemodynamically,stable
drugs,for,stroke,-,ANSWER,-,approved,fibrinolytic,agent,(rtPA)
-,glucose,(D50)
-,labetalol
-,nicardipine
-,Enalaprilat
-,Aspirin
-,nitroprusside
, major,types,of,stroke,-,ANSWER,-
,*ischemic,stroke:*,accounts,for,87%,of,all,strokes,and,usually,caused,by,occlusion,of,artery,to,a,
region,of,brain
-
,*hemorrhagic,stroke:*,accounts,for,13%,of,all,strokes,and,occurs,when,blood,vessel,in,brain,sud
denly,ruptures,into,surrounding,tissue;,*fibrinolytics,contraindicated,in,this,type,of,stroke,,also,a
void,anticoagulants*
when,should,fibrinolytic,therapy,be,provided,for,stroke?,-
,ANSWER,ASAP,,within,3,hours,of,onset,of,symptoms,,or,within,4.5,in,selected,pts
when,should,endovascular,therapy,be,given,for,stroke?,-
,ANSWER,within,6,hrs,of,onset,of,symptoms,,but,better,outcomes,associated,with,shorter,times,
to,treatment,(aka,ASAP)
Stroke,Chain,of,Survival,-,ANSWER,1),rapid,recognition,and,reaction,to,stroke,warning,signs
2),rapid,EMS,dispatch
3),rapid,EMS,system,transport,and,prearrival,notification,to,receiving,hospital
4),rapid,diagnosis,and,treatment,in,hospital
*8,D's,of,Stroke,Care*,-,ANSWER,*Detection*:,rapid,recognition,of,stroke,symptoms
*Dispatch*:,early,activation,and,dispatch,of,EMS,by,911
*Delivery*:,rapid,EMS,ID,,management,,and,transport
*Door*:,appropriate,triage,to,stroke,center
*Data*:,rapid,triage,,evaluation,,and,management,in,ED,(data,of,patient)
*Decision*:,stroke,expertise,and,therapy,selection
*Drug/Device*:,fibrinolytic,or,endovascular,therapy
*Disposition*:,rapid,admission,to,stroke,unit,or,critical,care,unit,(position,the,patient,somewher
e)
