Stroke Assessment
Stroke Intervention
Stroke Diagnostics
Stroke Education
Stroke Measures
100

Patient presenting with aphasia, right hemiparesis, right hemisensory loss, right visual deficit, left gaze deviation

Left Hemisphere LVO

100

Action taken for a Stroke patient presenting with labored respirations & decreased LOC

Airway intervention with RSI

100
In addition to paging the Neurologist on call, stroke patients presenting to the ED with signs of an acute stroke will have this test ordered.
What is a stat CT brain WITHOUT contrast?
100
This is widely defined as an increase in serum creatinine by 0.5 mg/dl or 25% above baseline within three days of contrast administration and without an alternative etiology.
What is contrast-induced nephropathy?
100

For Ischemic stroke patients, this must be administered by the end of day 2

What is an antithrombotic?

200

Patient presenting with right gaze deviation, left hemi-inattention & hemiparesis, left hemisensory, left visual field defect

Right hemisphere LVO

200

Actions taken if patient displays drowsiness, severe headaches, Nausea & vomiting, acute hypertension after Tenecteplase administration/infusion

Contact the the Physician Order and transport patient for STAT Non Contrast CT scan

200

A patient presenting with an acute stroke has an NIHSS of 18. In addition to a CT scan you would expect this test to be ordered per protocol

What is a CTA/CTP

200
Stroke is the leading cause of serious, long-term disability in the United States. What is the intervals in seconds that a stroke occurs?
What is every 40 seconds? Additionally, approximately 800,ooo people per year have a stroke.
200
Ischemic stroke patients with current or previous history of Afib/Aflutter must be discharged with this class of medication.
What is Anticoagulant?
300

Patient presenting with Eye movement abnormalities, Nausea & Vomiting, vertigo, tinnitus, dysphagia & decreased consciousness

Brainstem Infarction

300

Two assessments required on all stroke patients

NIHSS and Bedside Dysphagia Screening

300

Patient has an ischemic penumbra on the CT Perfusion with a core infarct and a good mismatch. What is the expected therapy

Endovascular therapy in interventional radiology suite

300

The acronym BE FAST stands for these four components of stroke assessment.

What is: Balance, eye,  Facial drooping Arm weakness Speech difficulty Time to call 911

300

This neurologic examination stroke scale evaluates the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss.

What is the NIHSS?

400
Patient presenting with sudden onset headache, nausea & vomiting, neck stiffness, intolerance to light
Symptoms suggestive of Subarachnoid hemorrhage
400

Time intervals for monitoring vitals signs & neuro assessment after thrombolytic therapy

Q 15 minutes x 4 Q 30 minutes x 6 and Q 1 hr x 16

400

A hyperdense MCA sign on a Non contrast CT Scan might be indicative of what ?

Large vessel occlusion and very severe stroke

400

Guiding body that provides our stroke clinical practice guidelines

What is the American Heart / Stroke Association

400
Patient with acute stroke has a slight right facial. Prior to PO intake what 2 nursing actions should be taken
1.)Patient remains NPO - Automatic fail for swallow risk assessment 2.) Speech Therapy Evaluation
500

Patient presents with  ataxia and vision disturbances

Cerebellar Stroke

500
4 Nursing Actions taken for all patients presenting with signs of acute stroke
Place patient on continuous ECG Monitoring Monitor Blood Pressure Perform NIHSS Perform Dysphagia Screening
500

The Non contrast CT Scan on an acute stroke patient shows an intracerebral hemorrhage. The patient is on Xarelto. This reversal agent could be issued emergently per policy.

PCC (Kcentra) 50 units/kg IV x1

500
This is the approximate % of stroke survivors who experience a second stroke in the first year following a stroke.
What is 14%
500
These are the 5 elements of education we are required to provide our stroke patients and their families.
What are 1. Signs and symptoms 2. Discharge Medications 3. Individual risk factors 4. Follow up appointments 5. When to call EMS
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