STROKE ALERT
You do this when you recognize stroke symptoms
What is activate a stroke alert?
Complete this bedside screen before giving potential/actual stroke patients anything to eat or drink
What is Massey bedside swallow screen
A commonly ordered test to determine if a stroke has occurred and what kind of stroke.
What is a CT scan of the head without contrast?
This clot-busting medication can be given if stroke symptoms occur <24 hours of last known normal
What is IV Tenecteplase (thrombolytics)
A patient should have two of these before going to CT during a stroke alert.
What is large bore IVs?
Dial this number to activate a stroke alert
What is 911 (internal)?
Document this for education for stroke patients
What are personal modifiable risk factors for stroke
A commonly ordered test used to diagnosis an acute ischemic stroke.
What is an MRI?
This person reconstitutes IV Tenecteplase and monitors the patient afterwards
Time from symptom onset/ symptom awareness to IV thrombolytic bolus.
What is 45 minutes?
Do this when a patient is unconscious or unresponsive.
What is activate a code blue?
Document these are on or patient refuses to wear them
What are sequential compression devices (SCDs)
Commonly ordered tests using IV radioactive compounds.
What are CTA and MRA?
Eligible patients can receive this treatment within 24 hrs of LKN and have a large vessel occlusion stroke.
What is Mechanical thrombectomy
Person (people) who determine the patient's eligibility for acute ischemic stroke treatment.
Who is the stroke team (Stroke neuro and/or neurosurgery)?
Notify primary service, unit TL, and RRN
What are actions to take before activating a stroke alert?
All stroke patients should be assessed by this staff members before discharge
Who are PT and OT
Advanced imaging used to identify "infarct core" and "stunned area/tissue" in the brain
What is CT Perfusion Imaging?
Medication that can be given if a patient is on an anticoagulant and has an intracerebral hemorrhage.
What is a "reversal agent"?
This is an escalation from a stroke alert.
What is Code Stroke LVO?
Patient location, primary nurse's name, and 5-digit call back number.
What is information to give operator after calling 911?
A patient can have a NIHSS of 0 and still be having this kind of a stroke
What is posterior circulation stroke
Protocol to identify patients who awoke with stroke-symptoms and are in the time window/ eligible for IV thrombolytic.
What is "Wake-Up" MRI or "Wake-Up" protocol?
Inpatient location where a patient is transferred to after receiving acute stroke treatment.
What is the intensive care unit?
This is the most important thing to control when a patient has a hemorrhagic stroke.
What is high blood pressure?