Stroke Training and Awareness Resources (STARs)

Twelve hours later

Twelve hours later the results from Archie’s observation chart is as follows:

Are Archie’s results normal? Select either normal or abnormal for each result below.

For more information on correct answers see view text alternative

Q. Are Archie’s results normal? Select either normal or abnormal for each result below.

Respiratory rate (RR): 22 – Abnormal – normal Respiratory Rate (RR) is 14-20 per min at rest.

Heart rate (HR): 80 bpm, regular – Normal – normal Heart Rate (HR) is 50-80 bpm and regular.

Temperature: 37˚C – Normal – tympanic temperature is normally ≤ 37°C.

Oxygen saturation: 92% (on air) – Abnormal – Oxygen saturation is normally ≥ 95% on air.

Blood pressure (BP): 170/90 – Abnormal – Archie’s Blood Pressure (BP) has increased since his last results. However, blood pressure is often elevated (up to 220/110) after Stroke but this usually resolves without treatment.

Q. Based on Archie’s test results, what should you do now? Put 4 of the following options in order of priority.

  1. Check the saturation probe is correctly positioned on the finger – Yes – it is better for a probe to be placed on a finger rather than the earlobe, or an unpainted nail.
  2. Repeat the observations – Yes – this is correct.
  3. Inform the on-call doctor – Yes – this is correct.
  4. Increase observation frequency to hourly or more often, following  your local protocol,  – Yes – this is correct.
  • Continue 4 hourly observations – No – this is the wrong thing to do because Archie’s respiratory rate is elevated and his oxygen saturation is low, please try again.
  • Begin high flow oxygen – This may well be required but should be prescribed by a doctor, please try again.

Page last reviewed: 06 Feb 2021