Patients with suspected strokes must be assessed within 10 minutes of arrival in the emergency department by the stroke team and other experts. Within 10-25 minutes, the CT scan must be completed, and within 45 minutes it must be read.
Hospital need to Obtain a 12-lead ECG and perform neurologic screening assessment. Do not delay CT, obtain CT without contrast within 20 minutes of patient arrival. A neurologic assessment by the stroke team or designee should be done within 20 minutes of patient arrival to the ED.
A CT scan of the head is usually one of the first tests used for a stroke. A CT scan can show bleeding in the brain or damage to brain cells. The CT scan also can find other problems that can cause stroke symptoms.
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Vitamin B12 is a water-soluble vitamin that cannot be absorbed by the intestinal mucosa unless it has been bound to intrinsic factor.
Intrinsic factor is a glycoprotein secreted by the stomach that is essential for the absorption of vitamin B12. Vitamin B12 is essential for the synthesis of DNA and for the maintenance of normal red blood cells.
Vitamin B12 is an important nutrient that helps keep the body's nerve and blood cells healthy. It also helps make DNA, the genetic material in all cells. Vitamin B12 is found in animal foods such as meat, poultry, fish, and dairy products.
The body needs vitamin B12 to make red blood cells, which carry oxygen throughout the body. Vitamin B12 is also needed for proper brain function and to prevent a type of anemia called megaloblastic anemia, which makes people tired and weak.
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