aloc file.txt

• -ALOC/confusion
• -Headache
• -Dysphasia/aphasia
• -Facial droop
• -Arm drift
• -Hemiparesis/hemiplegia
• -Lateralizing
• -Difficulty thinking
• -Hx of HTN (possible)
• -Hx of A. fib (possible)
• -Ataxia
• -Incontinence
• -Posturing (decorticate, decerebrate)

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant

• -Same as CVA
• -Signs & symptoms fully resolve within 24 hours
• -Signs & symptoms often resolve in 1 hour
• -No permanent damage
• -No damage 2nd to collateral blood flow
• -No damage 2nd to naturally occurring clot busters

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant
• -Mention suspicions

• -Same as CVA
• -Relatively slower onset of signs & symptoms, but can be fast

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant
• -Mention suspicions

• -Same as CVA
• -Emboli often originate from carotid bodies; in patients with a. fib, recent surgeries, long bone fractures, prolonged bed rest, or coagulopathies
• -Relatively faster onset of signs & symptoms

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant
• -Mention suspicions

• -Same as CVA
• -Relatively faster onset of signs & symptoms
• -If unresponsive, often with cushing's triad (increased ICP): HTN, bradycardia, irregular RR

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant
• -Mention suspicions

• -Same as CVA
• -Often presenting with worst headache of patient's life
• -N/V
• -Nuchal rigidity

• -Must get exact start time of signs & symptoms
• -3 hour windown for tPA (TNK)
• -Transport 30 degrees semi-fowler's POC
• -Nitrates to reduce; BP must not drop more than 20 points
• -No aspirin!
• -Can give morphine or lasix
• -TLC
• -Anti-convulsant
• -Mention suspicions

• -Aura (short premonition)
• -Tonic (short rigidity)
• -Clonic (2-5 minutes of shaking)
• -Post ictal (5-30 minutes of reawakening)

• -Prevent further injury
• -ABC's
• -C-spine PRN
• -NPA/OPA; O2 NRM
• -NPO
• -Pharm: Narcan if OD; D50 if hypoglycemic; Valium or Ativan

• -Sudden/abrupt LOC without shaking
• -No post ictal state
• -No loss of postural control

• -Prevent further injury
• -ABC's
• -C-spine PRN
• -NPA/OPA; O2 NRM
• -NPO
• -Pharm: Narcan if OD; D50 if hypoglycemic; Valium or Ativan

• -No ALOC
• -Motor twitching/shaking in localized areas
• -Hx of seizures

• -Prevent further injury
• -ABC's
• -C-spine PRN
• -NPA/OPA; O2 NRM
• -NPO
• -Pharm: Narcan if OD; D50 if hypoglycemic; Valium or Ativan

-Seizure that is unbroken after 30 minutes

• -Control airway
• -O2
• -Start an IV
• -IV Valium if possible
• -Rectal Valium for infants (diazepam)

-Normal dosing of antiseizure medications does not prevent seizures anymore

-Need to reassess pharmaceutical therapy

• -Causes that create an untable group of neurons in the brain include:
• -Epilepsy
• -Hypoxia
• -With spike in fever (febrile)
• -Rx compliance issues
• -DT
• -CVA
• -Eclampsia
• -Idiopathic
• -Infections
• -OD
• -Trauma
• -Tumors
• -Others

• -AKA: Juvenile Onset
• -AKA: IDDM (Insulin Dependent Diabetes Mellitus
• -Hx of Diabetes Type I
• -Virus or some other issue injured pancreas
• -Little or no insulin is produced

• -See hypoglycemia
• -See hyperglycemia

• -AKA: Adult Onset
• -AKA: NIDDM (Non Insulin Dependent Diabetes Mellitus)
• -AKA: Diet Dependent DM
• -Often due to insulin resistance or obesity
• -Often results in hyperglycemia

• -See hypoglycemia
• -See hyperglycemia

• -BS often less than 60 mg/dL (normal is 70-120 mg/dL)
• -Often due to a mal-balance between insulin use, food consumption, exercise, illness
• -Preceded by headache
• -May complain of headache prior to ALOC
• -ALOC/confusion
• -Hx of quick ALOC
• -Full rapid pulses
• -Normal BP

• -O2 PRN
• -25g glucose IV (D50)
• -Glucagon 1 mg IM if no IV available

• -ALOC/confusion (often due to metabolites from fat breakdown)
• -Onset often over many hours or days
• -Often with BS levels chronically above 180 mg/dl (when high, BS levels will read 500+)
• -Headache/ALOC/unresponsive
• -Triad: Polyuria (pee of glucose in blood); polydipsia (thirsty 2nd to polyuria); polyphagia (hungry 2nd to cellular hypoglycemia)
• -Ketones on breath (severe DKA)
• -Kussmaul respirations (deep & rapid to blow off acids)
• -Tachycardia/tachypnea
• -Hypotension
• -Dehydration

• -O2 PRN
• -IV wide open fluid if hypotensive
• -Transport (need insulin therapy at hospital)

• -Often seen in Type II DM
• -Insulin is produced, however, not enough for all sugars in blood stream, thus, sugar levels progressively increase, yet cells are adequately supplied with sugar
• -BS levels exceed 500 mg/dL
• -ALOC (possible)
• -No indication of ketones
• -Seem "drunk" or with seizures
• -Weakness

• -O2 PRN
• -IV wide open fluid if hypotensive
• -Transport (need insulin therapy at hospital)

• -Sudden & brief LOC 2nd to decreased cerebral blood flow or pressure
• -Hypotension
• -Vaso-vagal
• -Dysrhythmias
• -Tumors