ACLS Megacode 4: Stroke Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 Minutes 0 Seconds Step 1 of 4 25% Untitled An 84-year-old male presents with acute onset of left arm and leg weakness. He is noted to have facial droop as well as left arm and left leg weakness on exam. His speech is slightly slurred. 1. What bedside test should be done to evaluate for easily reversible cause of his symptoms?* Blood sugar Potassium level EKG Magnesium It is important to determine time of onset of symptoms. 2. What duration of time since onset of symptoms would qualify patient for administration of tPA?* 5 hours from onset of symptoms 6 hours from onset of symptoms 3 hours from onset of symptoms 12 hours from onset of symptoms Patient is rushed to a CT scan and found to have acute right sided ischemic stroke in the MCA distribution. You discover his symptoms started 1.5 hours ago.3. Which of the following would be an absolute contra-indication to administration of tPA?* History of lung cancer Trauma within the past six months Hypertension with blood pressures of 170/80 Stroke within the past three months 4. What is the expected time from patient’s presentation to diagnosis?* 10 minutes to assess, 25 minutes to CT scan, 45 minutes to CT read, 60 minutes to diagnosis 10 minutes to assess, 40 minutes to CT scan, 45 minutes to CT read, 80 minutes to Diagnosis 30 minutes to assess, 45 minutes to CT scan, 60 minutes to CT read, 90 minutes to diagnosis 15 minutes to assess and get CT scan, 30 minutes to CT read, 90 minutes to diagnosis
