SCRN study guide: hyperacute care Exam |
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Latest Update 2026
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Terms in this set (45)
Communicate effectively with pre- When stroke victim activates EMS the time to
hospital personnel. imaging , neuro exam, ED MD evaluation is
shorter. This should be emphasized in the
community. The greatest time delay is from
symptom onset to ED arrival.
EMS alerts the hospital, advance notification by
EMS has shown to increase the use of TpA
EMS evaluation primary goals Obtain last seen normal
Obtain blood glucose
ABCD score A: age B: blood C: clinical features D: Duration of
TIA symptoms
Establish ABC's Airway -Breathing: O2 for SpO2< 94%
Circulation: ECG, BP assessment & IV/Labs (√BG)
D (Neuro): NIHSS or Canadian Neurological Scale
(CNS), Neuro Exam & Neuro MD
,Posterior stroke There are important differences between
posterior and anterior circulation stroke. The
differences include the value of screening
instruments, optimum diagnostic modalities, and
clinical features. The face arm speech test (FAST),
a widely used prehospital stroke recognition
screening instrument, is less sensitive for
detecting posterior circulation stroke than for
anterior circulation stroke
, Symptoms of Posterior Circulation Motor deficits (weakness, clumsiness, or paralysis
Stroke of any combination of arms and legs, up to
quadriplegia, sometimes changing from one side
to another in different attacks)
"Crossed" syndromes, consisting of ipsilateral
cranial nerve dysfunction and contralateral long
motor or sensory tract dysfunction are highly
characteristic of posterior circulation stroke
Sensory deficits (numbness, including loss of
sensation or paraesthesia in any combination of
extremities, sometimes including all four limbs or
both sides of the face or mouth)
Homonymous hemianopia—a visual field defect
affecting either the two right or the two left halves
of the visual fields of both eyes
Ataxia, imbalance, unsteadiness, or disequilibrium
Vertigo, with or without nausea and vomiting
Diplopia as a result of ophthalmoplegia
Dysphagia or dysarthria
Isolated reduced level of consciousness is not a
typical stroke symptom but can result from
bilateral thalamic or brainstem ischaemia
(especially from rostral basilar artery occlusion)
Questions with 100% Correct Answers | Verified |
Latest Update 2026
Save
Terms in this set (45)
Communicate effectively with pre- When stroke victim activates EMS the time to
hospital personnel. imaging , neuro exam, ED MD evaluation is
shorter. This should be emphasized in the
community. The greatest time delay is from
symptom onset to ED arrival.
EMS alerts the hospital, advance notification by
EMS has shown to increase the use of TpA
EMS evaluation primary goals Obtain last seen normal
Obtain blood glucose
ABCD score A: age B: blood C: clinical features D: Duration of
TIA symptoms
Establish ABC's Airway -Breathing: O2 for SpO2< 94%
Circulation: ECG, BP assessment & IV/Labs (√BG)
D (Neuro): NIHSS or Canadian Neurological Scale
(CNS), Neuro Exam & Neuro MD
,Posterior stroke There are important differences between
posterior and anterior circulation stroke. The
differences include the value of screening
instruments, optimum diagnostic modalities, and
clinical features. The face arm speech test (FAST),
a widely used prehospital stroke recognition
screening instrument, is less sensitive for
detecting posterior circulation stroke than for
anterior circulation stroke
, Symptoms of Posterior Circulation Motor deficits (weakness, clumsiness, or paralysis
Stroke of any combination of arms and legs, up to
quadriplegia, sometimes changing from one side
to another in different attacks)
"Crossed" syndromes, consisting of ipsilateral
cranial nerve dysfunction and contralateral long
motor or sensory tract dysfunction are highly
characteristic of posterior circulation stroke
Sensory deficits (numbness, including loss of
sensation or paraesthesia in any combination of
extremities, sometimes including all four limbs or
both sides of the face or mouth)
Homonymous hemianopia—a visual field defect
affecting either the two right or the two left halves
of the visual fields of both eyes
Ataxia, imbalance, unsteadiness, or disequilibrium
Vertigo, with or without nausea and vomiting
Diplopia as a result of ophthalmoplegia
Dysphagia or dysarthria
Isolated reduced level of consciousness is not a
typical stroke symptom but can result from
bilateral thalamic or brainstem ischaemia
(especially from rostral basilar artery occlusion)
