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학습 자료 둘러보기 →In any acute neurological emergency with altered mental status, the nursing priority is the ABC assessment. Secure airway patency and breathing adequacy first, as dysarthria and confusion signal a high risk of aspiration or obstruction.
For ischemic stroke, elevated BP (e.g., 180/110 mmHg) is often a compensatory mechanism to perfuse the ischemic penumbra. Do not aggressively lower BP pre-thrombolysis or pre-CT unless it exceeds 220/120 mmHg or there is end-organ damage. This is termed permissive hypertension.
Never leave a patient with a compromised airway unattended for a CT scan. The stroke team and imaging suite must be ready, but the bedside nurse ensures stabilization (ABCs) before transport.
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