Figure 2-1
National Institutes of Health Stroke Scale (NIHSS )
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Initially developed as a research tool
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Score > 10 has high likelihood of large artery occlusion
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Left hemispheric strokes tend to score higher than posterior circulation or right hemispheric strokes of the same size (due to weight of language on score)
Cardiac and pulmonary auscultation
EKG
Weight in kilograms (needed to determine dose of IV tPA )
Laboratory Studies
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Complete blood count (hematocrit, hemoglobin, platelets, white blood cell count)
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Basic metabolic panel (including creatinine)
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