Abstract
neurological status. • Thestrokeunitshouldhaveatelemetry system monitoring blood pressure, pulse, respiration, and oxygenation. • Neurosurgical services should be available within 2 hours of the time they are deemed clinically necessary. • Primary stroke centers must have the capability to perform computed tomography (CT) scans within 25 minutes of being ordered. Magnetic resonance imaging (MRI) of the brain may be performed in place of CT if the same time frame can be met. Studies show that MRI is more sensitive than CT for detecting some acute strokes, small strokes, and lesions that produce stroke-like symptoms. • Cardiac imaging is recommended because a significant percentage of strokes are caused by blood clots from the heart. • Laboratory work should include tests for HIV and pregnancy, a chest film, an electrocardiogram; it also should include a drug toxicology screening because of the association between illicit drug use and stroke.
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