Assess ABC

Activate stroke team, Neurological Assessment

IV access , Blood glucose , Blood sample

Order CT, 12 lead ECG

Neurological Assessment by stroke team

Review Patient History (Time of stroke / when he/she was normal )

NIHS stroke scale

Review CT Report

Review Patient is suitable for fibrinolytic therapy

Check for fibrinolytic exclusions

Give rtPA

Review Patient is suitable for fibrinolytic therapy

Check for fibrinolytic exclusions

Begin post rtPA stroke pathway

Aggressive monitoring

• • • Blood pressure

    • Neurologic Deterioration