Put the tasks listed into three categories
Must be done before the brain scan
Insert iv cannula – (because they will need iv access to give contrast for the CTA)
Determine onset time
Check BM – (because you should have excluded hypoglycaemia)
Confirm clinical diagnosis of stroke
Request CT and/or CTA
Can be done whilst waiting for the brain scan
Take bloods
Complete NIHSS
ECG
Weigh patient
Check for factors which might influence benefit of thrombolysis and/or thrombectomy
Calculate the dose of alteplase
Must only be done after the brain scan
Give alteplase
Refer to thrombectomy centre
Chest X Ray
Organise urgent ambulance transfer to thrombectomy centre
