SUSPECTED STROKE Identily sipns and symptoms or possible stroke Activate Emergency Respone Crtical EMS aeaments and actions ABCOnypen Prehospital stroke assessment Establish time of symptom onset Triage to stoke center Alert Hospital Check glucose Immediate general asessment and stabillzation Assess ABCVital signs Onygen VAccess and lab assessments Check gucose Activate stroke team Neurologic screening Emergent CT scaMRI of brain Obtain 12ead ECG Immediate neurologic assessment by stroke team or designee Review patient Nistory Establish time of symptom onset Neuorlogic examination Does CTcan show hemmorhage? Possible ischemic stroke Consult neurosurgeon or neurologist consider transfer Fibrinolytic therapy Fibrinolytic exclusions Repeat nuero eam Patient a candidate for fibrinolytic therapy Adnirister Aspirin Review risks with family Give rtPA Begin stroke or hemmorage pathway No anticoagulants or antiplatelet treatment for 24 hrs Admit to stroke unit or ICU Begin post-rtPA stroke pathway Begin post etPA stroke pathway Monitor BPand neurological changes Emergent admission to stroke unit or ICU
SUSPECTED STROKE Identily sipns and symptoms or possible stroke Activate Emergency Respone Crtical EMS aeaments and actions ABCOnypen Prehospital stroke assessment Establish time of symptom onset Triage to stoke center Alert Hospital Check glucose Immediate general asessment and stabillzation Assess ABCVital signs Onygen VAccess and lab assessments Check gucose Activate stroke team Neurologic screening Emergent CT scaMRI of brain Obtain 12ead ECG Immediate neurologic assessment by stroke team or designee Review patient Nistory Establish time of symptom onset Neuorlogic examination Does CTcan show hemmorhage? Possible ischemic stroke Consult neurosurgeon or neurologist consider transfer Fibrinolytic therapy Fibrinolytic exclusions Repeat nuero eam Patient a candidate for fibrinolytic therapy Adnirister Aspirin Review risks with family Give rtPA Begin stroke or hemmorage pathway No anticoagulants or antiplatelet treatment for 24 hrs Admit to stroke unit or ICU Begin post-rtPA stroke pathway Begin post etPA stroke pathway Monitor BPand neurological changes Emergent admission to stroke unit or ICU
Chapter8: Introduction To Cpt Coding
Section: Chapter Questions
Problem 10MC
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Question
From the stroke algorithm shown in picture give and explain the rationale for each of the action(s) stated inside the Gray Boxes. Make sure toindicateand citeyour source(s) accordingly.
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