STROKE Statistics
Protocols
MEASURES
Odds & Ends
"CEREBRAL"
100
Every 40 seconds someone dies from this
What is a stroke?
100
These evidence based protocols guide the care of the Stroke patient
What are Stroke Order Sets?
100
The quality of stroke care provided are measured by these.
What is get with the guidelines measures?
100
This person makes the decision to call a code stroke
Who is EMS, ER nurse, ER physician, or neurologist?
100
Acute stroke patients should have rapid evaluation by a non-contrast CT to help identify exclusion criteria for TPA such as this.
What is intracerebral hemorrhage?
200
Stroke is the ____ leading cause of death in the United States
What is 5th?
200
These are the required components of a neuro check
What is LOC, cognition, speech, orientation, pupil/eye signs, motor all 4 extremities assessments.
200
This must be documented before patient receives anything by mouth for anyone at risk of aspiration.
What is the swallow eval and 3 oz. water test?
200
We do this to avoid aspiration pneumonia in stroke patients.
What is dysphagia screen? What is provide good oral care?
200
This is why we allow permissive hypertension immediately following an ischemic stroke.
What is maintain cerebral perfusion?
300
1/3 of patients experiencing this ailment will go on to have a stroke within 90 days
What is TIA?
300
A person you can call for questions or issues regarding stroke patients.
What is the stroke coordinator
300
This medication should be given within 45 minutes of arrival 50% of the time.
What is Alteplase?
300
This is the upper level at which we treat blood pressure for ischemic stroke patients.
What is SBP 220 mmHg and DBP 120 mmHg? Fact: The blood pressure should only be lowered by 15% in the first 24 hours.
300
This is the three types of strokes.
What is Ischemic, ICH, SAH?
400
Stroke is the leading cause of this in the world
What is disability?
400
This should be documented hourly while in the ED
What is neurological checks and vital signs?
400
Stroke patients who are transferred out need to be discharged within this timeframe.
What is 90 minutes if receiving Alteplase and 60 minutes if not receiving Alteplase and transferring to a higher level of care.
400
This is the blood pressure that the patient needs to be below to receive Alteplase.
What is 185/110?
400
Bleeding from this spreads over the surface of the brain resulting in a subarachnoid hemorrhage
What is ruptured cerebral aneurysm?
500
More people in this group have strokes than breast and uterine cancer combined.
What is women?
500
SSM Stroke practices are derived from these Evidence Based research studies
What are Clinical Practice Guidelines? (CPGs)
500
This documentation is required on all CVA/TIA workups.
What is hourly neuro checks, hourly vital signs, swallow eval, NIH, and last known well?
500
These are the required vital signs and neuro checks in patients that receive Alteplase.
What is q15 x 2 hours, q30 x 6 hours, and q1 hr x 16 hours.
500
This is the outer covering of the cerebrum. It is often referred to as the gray matter.
What is cerebral cortex?
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