Stroke Emergency
The stroke-recognition tool "B.E. F.A.S.T." stands for?
What is... Balance, Eyes, Face, Arm, Speech, and Time.
The type of stroke caused by an arterial blockage from a thrombus or embolus.
What is... an ischemic stroke?
These IV medications may be used for eligible patients with acute ischemic stroke within the appropriate treatment window.
What are... alteplase or tenecteplase?
The diet status a patient should have until swallowing safety has been screened or evaluated after an acute stroke.
What is... NPO?
A client with atrial fibrillation is prescribed this anticoagulant to help prevent future cardioembolic strokes.
What is... warfarin (Coumadin)?
The information the nurse must determine as quickly and accurately as possible when a patient develops possible stroke symptoms.
What is... the last-known-well time?
The type of stroke caused by a ruptured cerebral blood vessel.
What is... a hemorrhagic stroke?
The approximate treatment window given for IV thrombolysis for many eligible patients with disabling ischemic stroke.
What is... within 4.5 hours of last-known-well?
These stroke complications make swallowing assessment a major nursing priority.
What are... dysphagia and aspiration?
A client with atrial fibrillation has a stroke caused by a blood clot originating from the heart. This medication class may be used for long-term prevention.
What are... anticoagulants?
A stroke client suddenly develops increased weakness and a change in neurologic status. The nurse should perform this assessment and report the change immediately.
What is... a neurologic assessment/NIHSS?
The two major types of hemorrhagic stroke.
What are... intracerebral hemorrhage and subarachnoid hemorrhage?
The procedure that physically removes an occluding clot from a large cerebral artery.
What is... mechanical thrombectomy?
Coughing, a wet/gurgly voice, drooling, decreased oxygen saturation, and abnormal lung sounds are warning signs of this complication.
What is... aspiration?
A client has a non-cardioembolic ischemic stroke. This type of medication is commonly used for long-term secondary stroke prevention.
What are... antiplatelet medications?
A stroke client has difficulty noticing things on one side of the body. The nurse should use this technique to help the client notice the affected side.
What is... cueing the client to scan toward the affected side?
The emergency imaging study used to identify intracranial hemorrhage before determining the appropriate stroke treatment.
What is... a noncontrast head CT?
The type of stroke in which thrombolytics and anticoagulants should NOT be given unless there is another specific indication.
What is... hemorrhagic stroke?
When oral intake is allowed, the patient should sit in this position during meals.
What is... upright?
This medication may be given to an eligible client with an acute ischemic stroke to dissolve the clot and restore blood flow.
What is... alteplase or tenecteplase?
A stroke client's blood pressure drops lower than the prescribed goal. The nurse is concerned because too much of a decrease can cause this problem.
What is... decreased cerebral perfusion and worsening neurologic injury?
This is the critical rule when caring for a patient with a suspected stroke because symptoms alone cannot reliably identify whether the stroke is ischemic or hemorrhagic.
What is... never assume the stroke type before brain imaging?
Selected patients with large-vessel occlusion may remain eligible for this treatment for up to 24 hours.
What is... mechanical thrombectomy?
This nursing action should be performed before giving food, fluids, or oral medications to a patient with a new stroke.
What is... ensuring swallowing safety has been screened/evaluated?
A client arrives with an acute ischemic stroke and is determined to be eligible for medication-based reperfusion within the treatment window. The nurse should anticipate this treatment.
What is... IV thrombolytic therapy with alteplase or tenecteplase