: Evaluate for dysarthria, weak cough, or pooling of secretions that threaten the airway.

Home care program preparation for neurological patients - Samitivej

: If seizures continue, load with anti-seizure medications (e.g., Levetiracetam 60mg/kg or Fosphenytoin 20mg PE/kg). 4. Acute Neuromuscular Weakness

Crossed signs (ipsilateral cranial nerve deficit, contralateral hemiparesis)

In the high-stakes environment of a hospital, few moments are as anxiety-inducing as the 2:00 AM page from the emergency department: “Patient with acute altered mental status. Possible stroke. Please call ASAP.”

If large vessel occlusion (LVO) is suspected, coordinate with neurosurgery/interventional radiology for mechanical thrombectomy. 3. Status Epilepticus (SE) Defined as continuous seizure activity lasting is greater than 5