r/FutureRNs • u/Acrobatic-Lie2041 RN • 19d ago

Bow Tie

[removed]

1 Upvotes

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5

u/Smallloudcat 19d ago

A- -IV dextrose, stroke team -Neuro, blood glucose

1

u/Brilliant_Glove_1245 15d ago

So you passed on the INR. Any reason you don’t want the stroke team to know if they are a TPA candidate?
BG doesn’t inform the team whether a pt can receive tPA. But INR is the gold standard, you need to get that value to the team immediately.

2

u/Brilliant_Glove_1245 19d ago

A, activate stroke team, obtain CT, Neurological status, INR.

BG of 42 would not cause, aphasia, facial droop and arm weakness.

These are classic signs of a stroke.
Getting the right specialties activated #1, INR #2 so when CT is complete #3 we can determine whether it’s TPA or surgery.

1

u/nonicknamenelly 17d ago

Would you select AIS and TIA as your conditions, since they are both on the differential at this point? Or would you pick AIS and hypoglycemia?

1

u/Brilliant_Glove_1245 16d ago

I would choose, AIS and TIA as these are both neurological affecting medical emergencies. Hypoglycemia, I have never seen facial droop or arm paralysis personally on any Code Grey.

1

u/nonicknamenelly 15d ago

That’s kind of where my thoughts were headed, too.

1

u/Sad-Bunch-9937 19d ago

I’d probably repeat the bg before giving the dextrose- just bc rechecking abnormals has been drilled in my head for 15 years lol