Rationale
✅ Facial droop, arm drift, leg weakness — pathognomonic FAST signs of hemispheric stroke
✅ Dysarthria + confusion within 2-hr window — most specific and time-sensitive stroke indicators
✅ DVT hx + BP 150/90 — primary thromboembolic and vascular risk factors
❌ Glucose 112 — rules out mimic only; not diagnostic
❌ Temp + SpO₂ — nonspecific; do not support stroke hypothesis
❌ Son at bedside, moves slowly — contextual; not diagnostic
✅ Priority condition: Acute stroke — all findings confirm; glucose rules out hypoglycemia; no seizure rules out Todd’s paralysis
✅ Activate stroke protocol + CT — immediate priority to initiate treatment pathway and confirm stroke type
✅ IV access, labs, neuro monitoring — essential preparation and deterioration detection
❌ IV antihypertensives below 130 — aggressive lowering pre-CT worsens cerebral ischemia
❌ tPA without CT — fatal hemorrhage risk if stroke is hemorrhagic
❌ Trendelenburg — increases ICP, worsens cerebral injury