What are the steps of emergency care for a stroke patient?

Three Things to Do When Someone Is Having a Stroke

  1. Call 911 immediately.
  2. Note the time you first see symptoms.
  3. Perform CPR, if necessary.
  4. Do not let that person go to sleep or talk you out of calling 911.
  5. Do not give them medication, food, or drinks.
  6. Do not drive yourself or someone else to the emergency room.

When should stroke protocol be activated?

If symptoms onset is less than 24 hours, evaluate for suspected acute stroke within 10 minutes of patient arrival, if stroke suspected, activate Stroke Alert via the ECC and initiate orders for CT without contrast, CBC, INR, PTT,to be sent in Stroke Alert bag; POC troponin, POC Chem 8, and 12 lead EKG.

What scan should be done immediately for an acute stroke patient?

The main advantage of MRI in acute stroke relates specifically to the use of DWI, which can provide very clear evidence of the extent of parenchymal ischaemia and/or infarction within minutes of stroke onset and can do so more sensitively than non-contrast CT within the first 6 h from the onset; 40–73% for CT vs 58–97% …

What should a nurse do during a stroke?

Call emergency services and get to the hospital immediately.

  • Call emergency services.
  • If you’re caring for someone else having a stroke, make sure they’re in a safe, comfortable position.
  • Check to see if they’re breathing.
  • Talk in a calm, reassuring manner.
  • Cover them with a blanket to keep them warm.

What is the purpose of the hospital having stroke alert protocols?

[9] Because of this, hospitals have created “stroke alert” systems to notify the appropriate team of providers about an acute stroke and to dedicate hospital resources to the immediate diagnosis and treatment of these patients.

What is MRI stroke protocol?

A typical stroke MRI protocol consists of T2/FLAIR-, T2*-, diffusion- (DWI) and perfusion- (PWI) images (Table 1) and MR angiography (MRA) [22]. This protocol can be performed in less than 30 minutes.

Why is initial CT scan negative for stroke?

CT scans are excellent at detecting the bleeding in the brain that occurs in hemorrhagic stroke. However, ischemic stroke may be difficult or impossible to see in CT images, especially during the first few hours after the stroke occurs, which is the period when treatment decisions are most important.