HYPERACUTE
Tool used by EMS on arrival to assess for stroke S&S
Cincinnati pre-hospital stroke scale
2 major types of stroke are?
Ischemic & Hemorrhagic
Patient had abdominal surgery 2 weeks ago. This is a ___________________ to receiving tPA
Contraindication
In the Acronym BEFAST, the letter "A" represents?
Arms OR Arm Drift
Location of online stroke resources for nurses at MMC
-Department
-Stroke Center
In an minimally responsive stroke patient, the RN priority should be?
Airway Protection
Ischemic Stroke
tPA Dose (____ mg/kg)
0.9 mg/kg
Bedside POC assessment to rule out a stroke mimic?
BGM
NIHSS Score @ baseline that correlates with strong probability of death?
>16
Ischemic stroke patient, not a candidate for tPA, which medication will be given?
Aspirin
Gold standard diagnostic test for stroke is?
CT scan
tPA IV bolus given over what time period?
1 minute
Ischemic Stroke - Approach that accepts BP 220/110
Permissive Hypertension
3 members of stroke team?
•Core Stroke Team (Stroke Attendings, Stroke NPs/PAs)
•Neuro Adult Critical Care (SICU/PCSU)
•Neuro-Interventional Radiology
•Neurosurgery
•Nursing staff
•Case Management
•Rehab Department
•Speech Pathology
•Pharmacy
Patient develops slurred speech in bed, your (RN) FIRST action should be?
Assess (neuro & BGM)
Minimally invasive procedure performed to repair aneurysm in the brain....
Coiling of Aneurysm (endovascular)
Patient receiving tPA develops swelling of mouth and tongue. You suspect?
Angioedema
Patient complains of worst headache of their life. You suspect?
SAH
Hemorrhagic Stroke, SBP goal?
140 or
140-160
2 reasons why ambulance is preferred transport for suspected stroke patient
1. They call ahead so hospital is prepared
2. Patient can be assessed & treated enroute
3. Dispatcher will select stroke-appropriate hospital
Posterior cerebral artery supplies this lobe?
Occipital Lobe
- BEFORE
- AFTER
BEFORE: 185/110
AFTER: 180/105
Area of brain that controls the ability to receive and understand communication (receptive aphasia)
Wernicke
Surgical procedure involving removal of bone flap and storage in patient's abdomen...
Craniectomy