Q. Which of the following actions would improve performance against the Scottish stroke care aspirin standard? Select True or False for each one.
Q.Which of the following actions would improve performance against the NHS QIS aspirin standard?
1. Continue to use Clopidogrel for the management of acute stroke – False – Current evidence suggests that aspirin is the preferred treatment for an acute stroke event.
2. Ensure administration of aspirin as soon as haemorrhagic stroke is excluded – True – Evidence suggests aspirin improves the outcome after ischaemic stroke.
3. Consider alternative routes for administration of aspirin if the patient cannot swallow – True – Aspirin should be given rectally or via an enteral tube.
4. Stroke team visit A&E or other medical receiving units to ensure that aspirin is prescribed within one day of stroke for appropriate patients – True – The stroke team can reinforce the importance of ensuring that aspirin is prescribed.
5. Postpone aspirin treatment until patient can swallow – False – Alternative routes for aspirin administration can be used such as per rectum (PR).
6. Use newest antiplatelet on market – False – Current evidence suggests that aspirin is the preferred treatment for an acute ischaemic stroke.
7. Ensure prescription of appropriate antiplatelet following current evidence base – True – It is important to keep up to date with current evidence to ensure appropriate prescribing of medication for acute stroke patients.
8. Education of all staff including junior medical staff regarding current evidence to support management of acute stroke with antiplatelet therapy – True -Education is key to ensuring that staff are up to date with current evidence in the management of acute stroke.
Page last reviewed: 10 Aug 2022
