Adult Suspected Stroke Protocol Quiz
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Questions and Answers

According to the Adult Suspected Stroke Protocol, what should be done if a patient's blood glucose is less than 60mg/dL?

  • Perform the Cincinnati Prehospital Stroke Scale and the RACE Scale.
  • Transport to the nearest most appropriate facility for further evaluation.
  • Initiate immediate transport and contact medical control for guidance.
  • Administer glucose intravenously or orally as indicated in the Adult Diabetic/Glucose Protocol #41. (correct)

    • A patient presents with a suspected stroke. Which of the following is considered an abnormal finding on the Cincinnati Prehospital Stroke Scale?

  • Both sides of the face move equally well.
  • One arm drifts down compared with the other. (correct)
  • The patient uses correct words with no slurring.
  • Both arms move the same or both arms do not move at all.

    • What is the recommended maximum scene time for a patient with a suspected stroke, according to the protocol?

  • 10 minutes (correct)
  • 5 minutes
  • 20 minutes
  • 15 minutes

    • Which of the following actions is NOT mentioned in the Adult Suspected Stroke Protocol?

    <p>Administering aspirin to the patient. (A)</p> Signup and view all the answers

    Which protocol should be followed if a patient with suspected stroke is found to have a blood glucose level of 450mg/dL?

    <p>ADULT DIABETIC/GLUCOSE PROTOCOL #41 (B)</p> Signup and view all the answers

    A patient with a suspected stroke presents with an abnormal finding on the Cincinnati Prehospital Stroke Scale. Which of the following is NOT mentioned in the protocol as an action to take?

    <p>Perform a 12-lead ECG if available. (C)</p> Signup and view all the answers

    A patient with a suspected stroke presents with a blood glucose level of 55mg/dL. What action should the responder take?

    <p>Refer to the ADULT DIABETIC/GLUCOSE PROTOCOL #41 (D)</p> Signup and view all the answers

    A patient presents with a suspected stroke, and you are unsure if they are on anticoagulants. What action should you take?

    <p>Obtain a medical history from the patient or bystanders. (A)</p> Signup and view all the answers

    A patient is found unresponsive at their home and is suspected to have had a stroke. You notice they are unable to speak and their right arm is drifting down. What is the most appropriate action according to the protocol?

    <p>Initiate rapid transport to the nearest most appropriate facility. (D)</p> Signup and view all the answers

    A patient with a suspected stroke is found unconscious and displaying seizure-like symptoms. What protocol should be followed?

    <p>ADULT SEIZURES/STATUS EPILEPTICUS PROTOCOL #44 (B)</p> Signup and view all the answers

    Flashcards

    Cincinnati Prehospital Stroke Scale

    A scale used to assess stroke symptoms in the field, including facial droop, arm drift, and speech.

    Abnormal Facial Droop

    One side of the patient's face does not move as well as the other, indicating a potential stroke.

    Normal Arm Drift

    Both arms move equally or do not move at all during assessment of stroke symptoms.

    Abnormal Speech Assessment

    Patient slurs words, uses inappropriate words, or cannot speak, indicating a possible stroke.

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    Last Known Normal

    The most recent time before symptoms appeared when the patient was known to be functioning normally.

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    Rapid Arterial Occlusion Evaluation (RACE) Scale

    A scale used to assess potential large vessel occlusion in stroke patients.

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    Transport Scene Time

    Scene time should be less than 10 minutes for stroke patients to avoid delays in care.

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    Blood Glucose Levels

    Critical thresholds (<60 or >400) require referral to diabetic protocols.

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    Identifying Anticoagulants

    Determine if the patient is on blood thinners, impacting stroke treatment decisions.

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    Abnormal Arm Drift Assessment

    If one arm does not move or drifts down, it indicates a potential stroke.

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