Stroke Training and Awareness Resources (STARs)

02: Physiological monitoring following stroke


On completion of this module you should have a critical understanding of the relevance and importance of monitoring in acute stroke patients, understanding the relevance and the implications of investigation and management of individual patients. Further resources can on this topic can be found below.

The answers to all the test questions are contained within the module. This information may be provided in the ‘Additional Information’ on some of the pages.

NB: Information within this module is due to be reviewed. Updated content will appear here shortly.

Useful Resources

  • Rowat, A, Morrow, B, Steele, B. Using the mnemonic ‘brain attack’ in the management of stroke. Nursing Standard 2009 24(6):50-57.
  • Best Practice (BEST PRACT), Vital Signs. 1999; 3(3): 1-6
  • Jones S.P., Leathley M.J., McAdam J.J., Watkins C.I. (2007) Physiological Monitoring in acute stroke: a literature review. Journal of Advanced Nursing 60(6), 577-594
  • Jevon, P. (2008) Neurological Assessment Part 4 – Glasgow Coma Scale 2. Nursing Times; 104:30:24-25
  • Patient Assessment Part 4 – Blood Glucose Testing. Nursing Times 2008 Mar 11; 104 (10) 25
  • National Clinical Guideline for Stroke (2016)
  • Warlow C, van Gijn J, Dennis M, et al. (2008) Stroke practical management. 3rd ed. Oxford: Blackwell Publishing
    Whelan K (2001) Inadequate fluid intakes in dysphagic acute stroke. Clinical Nutrition. 20:423-8.


Module authors This module has been developed by: Group Lead Dr Simon Hart, Consultant Physician, NHS Lothian Group Members Hazel...

Case 1: Jean

Blood Pressure and Heart Rate Jean is a 79 year old lady who lives alone and was found on the...

Case 2: Bob

Blood Glucose Bob, a 59 year old man weighing 28 stone, was in the fish and chip shop when he...

Case 3: Archie

Temperature, Respiratory Rate and Oxygen Level Archie is a 69-year-old retired accountant who was admitted to hospital after waking from...

Case 4: Maisie

Glasgow coma scale Background information on the Glasgow coma scale (GCS) The Glasgow coma scale (GCS) is a is a...


Physiological monitoring is the measurement of parameters allowing for early detection of any abnormalities and potential deleterious changes so that...