Stroke and Intubation Assessment Quiz
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Questions and Answers

What does the 'B' in the BE-FAST stroke screening scale stand for?

  • Breathing irregularities
  • Bilateral weakness
  • Balance: Unsteadiness (correct)
  • Blood pressure changes

Which of the following is NOT included in the definition of a Brief, Resolved, Unexplained Event (BRUE)?

  • Sudden temperature spike (correct)
  • Color change (cyanosis or pallor)
  • Altered level of responsiveness
  • Marked change in muscle tone

In the LEADSD acronym for assessing and documenting intubation, what does the 'E' stand for?

  • End-Tidal CO2 Detection Device (correct)
  • Electrolyte balance
  • Extent of obstruction
  • External airway assessment

What is the primary purpose of a nebulizer as described in the treatment protocol?

<p>To administer normal saline or medications (A)</p> Signup and view all the answers

Which of the following statements about End-Tidal CO2 (EtCO2) monitoring is accurate?

<p>It continuously monitors end-tidal CO2 levels. (D)</p> Signup and view all the answers

Which group does the term 'Opioid-Dependent Pain Management Patient' refer to?

<p>Those prescribed opioids for chronic pain management (D)</p> Signup and view all the answers

What indicates a need for Definitive Therapy in terms of treatment?

<p>Immediate or anticipated need for medications or fluid bolus (C)</p> Signup and view all the answers

What does the 'D' in the FAST-ED stroke severity scale stand for?

<p>Denial/Neglect (B)</p> Signup and view all the answers

What is the main difference between BE-FAST and FAST-ED in stroke assessment?

<p>BE-FAST assesses balance, while FAST-ED focuses on facial symptoms. (D)</p> Signup and view all the answers

Which of the following is a characteristic of a Brief, Resolved, Unexplained Event (BRUE)?

<p>It describes episodes that are sudden and brief. (D)</p> Signup and view all the answers

What key aspect does the acronym LEADSD emphasize in endotracheal intubation?

<p>Assessment of lung sounds. (C)</p> Signup and view all the answers

Which of the following describes an Opioid-Dependent Pain Management Patient?

<p>Those prescribed opioids for chronic pain management. (C)</p> Signup and view all the answers

What is the significance of End-Tidal CO2 (EtCO2) monitoring?

<p>It is essential for evaluating respiratory status in intubated patients. (D)</p> Signup and view all the answers

What does the term 'definitive therapy' refer to?

<p>Immediate need for medications or fluid administration. (C)</p> Signup and view all the answers

Which symptom is not part of the BE-FAST assessment for strokes?

<p>Heart palpitations. (A)</p> Signup and view all the answers

What is the function of a nebulizer in emergency treatment?

<p>To deliver medications or saline in mist form. (D)</p> Signup and view all the answers

Flashcards

BE-FAST

A prehospital stroke screening scale used to assess possible stroke or TIA patients. It evaluates balance, vision, facial droop, arm/leg weakness, speech, and the time of the last known well state.

FAST-ED

A prehospital stroke severity scale used for patients with a positive BE-FAST result. It assesses facial palsy, arm weakness, speech changes, time of onset, eye deviation, and denial or neglect.

Brief, Resolved, Unexplained Event (BRUE)

A sudden, brief, and resolved episode in infants younger than 12 months, involving one or more of the following: absent, decreased, or irregular breathing, color change, altered muscle tone, or altered responsiveness.

Definitive Therapy

Immediate or anticipated immediate need for administering a fluid bolus or medications.

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End-Tidal CO2 (EtCO2)

A quantitative capnometer used to continuously monitor end-tidal CO2 in intubated patients.

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LEADSD

A step-by-step acronym for assessing and documenting endotracheal intubation attempts, including lung sounds, CO2 detection, abdominal sounds, depth, and size.

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Nebulizer

An oxygen-powered delivery system used to administer normal saline or medications.

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Opioid

Any derivative, natural or synthetic, of opium, morphine or any substance that has effects on opioid receptors.

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What is BE-FAST?

A prehospital stroke screening scale used to assess possible stroke or TIA patients. It evaluates balance, vision, facial droop, arm/leg weakness, speech, and the time of the last known well state.

Signup and view all the flashcards

What is FAST-ED?

A prehospital stroke severity scale used for patients with a positive BE-FAST result. It assesses facial palsy, arm weakness, speech changes, time of onset, eye deviation, and denial or neglect.

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What is a BRUE?

A sudden, brief, and resolved episode in infants younger than 12 months, involving one or more of the following: absent, decreased, or irregular breathing, color change, altered muscle tone, or altered responsiveness.

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What is Definitive Therapy?

Immediate or anticipated immediate need for administering a fluid bolus or medications.

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What is End-Tidal CO2 (EtCO2)?

A quantitative capnometer used to continuously monitor end-tidal CO2 in intubated patients.

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What is LEADSD?

A step-by-step acronym for assessing and documenting endotracheal intubation attempts, including lung sounds, CO2 detection, abdominal sounds, depth, and size.

Signup and view all the flashcards

What is a Nebulizer?

An oxygen-powered delivery system used to administer normal saline or medications.

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What are Opioids?

Any derivative, natural or synthetic, of opium, morphine or any substance that has effects on opioid receptors.

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Study Notes

BE-FAST Stroke Screening Scale

  • Assesses possible Transient Ischemic Attack (TIA) or stroke
  • Prehospital stroke severity scale used for positive BE-FAST results
  • Evaluates balance, eyes, face, arms/legs, speech, and time

Brief Resolved Unexplained Event (BRUE)

  • Episode in infants under 12 months
  • Characterized by sudden, brief, and resolving episodes
  • Possible indicators include: absent/irregular breathing, color change (cyanosis/pallor), altered muscle tone (hyper/hypotonia), and altered responsiveness

Definitive Therapy

  • Immediate or anticipated need for fluids or medication administration

End-Tidal CO2 (EtCO2)

  • Quantitative capnography for continuous CO2 monitoring
  • Mandatory for intubated patients
  • Exceptions listed in Skills List (S-104)

LEADSD Intubation Assessment

  • Acronym for steps in endotracheal intubation assessment/documentation
  • Includes lung sounds, end-tidal CO2 detection, absence of abdominal sounds, depth, size, and documentation

Nebulizer

  • Oxygen-powered system for medication or saline administration

Opioid

  • Derivatives of opium, morphine, or substances affecting opioid receptors
  • Effects include analgesia, somnolence, and respiratory depression
  • Opioid Overdose (Symptomatic): Decreased level of consciousness and/or respiratory depression (e.g., respiratory rate <12 or EtCO2 ≥40 mmHg).

Pediatric Patients

  • Ages 14 years or younger are considered pediatric
  • Trauma patients determined by age, not weight
  • Neonate (birth - 30 days), Infant (1 month - 1 year)

Perilaryngeal Airway Adjunct (PAA) Options

  • Supraglottic airway (SGA) - i-gel is the only approved prehospital device in San Diego County
  • Retroglottic airway - King Airway is the only approved prehospital device in San Diego County

Unstable Patient Criteria

  • Age 15 and older, with systolic blood pressure (SBP) less than 90 mmHg, and signs of inadequate perfusion
  • Signs might include altered mental status, pallor, diaphoresis, significant chest pain (possible cardiac origin), or severe dyspnea
  • Age 14 or younger, with signs of inadequate perfusion (e.g., altered mental status, pallor/mottling/cyanosis, diaphoresis, difference in peripheral/central pulses, delayed capillary refill) and specific age-related hypotension criteria, including SBP values based on age.

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Description

Test your knowledge on key medical assessments including the BE-FAST stroke screening scale and intubation assessment procedures. This quiz covers vital topics such as stroke recognition, BRUE in infants, fluid administration, and capnography for intubated patients. Perfect for healthcare professionals and students looking to reinforce their understanding of critical care practices.

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