Medication Advice (NG128):

• Immediately give Aspirin 300 mg (with proton pump inhibitor cover where appropriate) and arrange urgent assessment (within 24 hrs) by a specialist stroke physician unless the patient:
• Has a bleeding disorder or is taking an anticoagulant as haemorrhage requires exclusion; arrange immediate admission and urgent imaging.
• If on regular low-dose aspirin; continue the current dose of aspirin until reviewed by a specialist.
• If Aspirin is contraindicated — urgently discuss management with the specialist team.

Patient Advice: 

• Explain FAST assessment to patient.
• He or she should not drive until he or she has been assessed at the hospital or clinic.
• If there was a witness to the event, that person should accompany the patient to the hospital or clinic.
• If the patient experiences a further event they should call 999 go to ED.
• Ask patient to bring current medication / medication list to clinic.