Stroke
Permissive HTN parameter in an ischemic stroke
What is >220/>110
Pt. with subdural hematoma post fall
What is Traumatic Bleed
Required TNK documentation
what is Q 15 min assessment of VS, NIHSS, complete neuro, and Adverse Thrombolytic reaction
antihypertensive medication drip in stroke
What is Nicardipine
Eye Opening - Spontaneous
Verbal Response- Oriented
Motor Response- Obeys commands
What is Glascow Coma Scale score 15
blockage of bloodflow in brain due to atherosclerotic plaque or embolus
What is Ischemic stroke
Pt. with hx HTN, no trauma diagnosed with Intracerebral hemorrhage
What is Spontaneous ICH
action taken when a change in LOC, new HA, N/V, or NIHSS increase greater or equal to 3 points is noted.
What is criteria to notify MD
Labetalol 10mg every 10 min. x2
What is an antihypertensive medication used in stroke patients
GCS, Pupils, Grips, pushes, and pulls
What is included in a complete neuro exam in the ED
Door to CT goal with stroke symptoms
What is 20 minutes
BP goal for patient with Spontaneous ICH/SAH
What is 140/90
lips swelling post TNK
What is Angioedema
25mg in 5 ml syringe
What is TNK max dose
NIHSS, Neuro, VS Q30 x4
What is the initial documentation for a code 20
Alert used with stroke symptoms onset <4.5 h
What is Code Neuro
Bed position in pt. with Intracerebral hemorrhage
What is >30 degree's
Medication that may be given to patient with hemorragic stroke to prevent seizures?
What is Keppra
Diuretic used to decrease intracranial pressure
What is Mannitol
Every stroke including TIA, Ischemic, and bleed must have this assessment prior to any po and/or leaving the ED
What is a NBSS
Assessment used when LKW is 16 hr with pt. symptoms of weakness and aphasia
What is VAN
If positive call code neuro- Large Vessel Occlusion Candidate
Medication that may be used to prevent seizures with a ICH/SAH
What is Keppra
Team pause prior to administering TNK
What is a Time out
Type of medication pt. may take that would increase their risk of angioedema?
What are ace inhibitors Ex: Lisinopril
written delays for CT, labs (INR), TNK
What is documentation