Stroke Training and Awareness Resources (STARs)


Doctor’s review

The doctor reviews Archie and is concerned about his raised temperature.

Select each of the crosses below to find out why you would be concerned about an increased temperature in the acute phase of stroke.

One principle of acute management is to keep temperature normal. This can be done with 48 hrs of regular paracetamol to bring the temperature down over this period. Review after 48hrs.

Select each of the crosses below to find out why you would be concerned about an increased temperature in the acute phase of stroke.

Infection – Exploring the possibilities of the source of the infection:

  • you must look to check if IV access is infected
  • dip urine to exclude infection
  • recommend to the doctor that they listen to the chest
  • you should suggest to the doctor that a chest x-ray should be appropriate
  • examine Archie’s skin for areas of breakdown or infection

DVT/PTE – Sometimes thromboembolism can be associated with a mild pyrexia. Tachycardia, low oxygen saturation levels and raised respiratory rate are all compatible with DVD/PTE.

Hypertension – This is not going to cause pyrexia.

Anxiety – Can make people sweaty but does not actually raise temperature.

Constipation – This does not cause increased temperature.

Page last reviewed: 06 Feb 2021