ACLS Strokes Questions and Answers
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What is the primary goal of initial assessment in a patient suspected of having a stroke?
To quickly determine the type of stroke and initiate appropriate treatment.
What are the key symptoms to look for when identifying a stroke?
Sudde...
What is the primary goal of initial assessment in a patient suspected of having a stroke?
✔✔ To quickly determine the type of stroke and initiate appropriate treatment.
What are the key symptoms to look for when identifying a stroke?
✔✔ Sudden onset of numbness or weakness, especially on one side of the body, confusion,
difficulty speaking, and severe headache.
Why is it crucial to determine the time of symptom onset in a stroke patient?
✔✔ To guide treatment decisions, such as thrombolysis, which is time-sensitive.
What is the recommended imaging modality for diagnosing a stroke?
✔✔ A non-contrast CT scan to differentiate between ischemic and hemorrhagic stroke.
What medication is commonly used for thrombolysis in ischemic stroke, and within what time
frame should it be administered?
1
, ✔✔ tPA (tissue plasminogen activator) should be administered within 4.5 hours of symptom
onset.
What is the purpose of administering aspirin to a stroke patient?
✔✔ To prevent further clot formation in patients with ischemic stroke, typically after the initial
thrombolytic treatment.
What is a major contraindication for thrombolysis in stroke patients?
✔✔ Recent major surgery or trauma within the past 3 months.
How often should vital signs be monitored in a patient receiving thrombolytic therapy?
✔✔ Every 15 minutes for the first 2 hours, then every 30 minutes for the next 6 hours, and
hourly for the next 16 hours.
What is the main goal of secondary prevention in stroke management?
✔✔ To reduce the risk of subsequent strokes through lifestyle modifications and medication.
What is the primary role of the NIH Stroke Scale (NIHSS) in stroke management?
2
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