NAME THIS STROKE
This is the most common type of stroke.
What is an Ischemic Stroke?
This medication must be administered w/in 24 hrs of arrival for a patient w/ DVT.
What is Heparin, Lovenox, Coumadin, or Xarelto?
This is usually the first test done to determine if a stroke has occurred and to see if it's a Hemorrhagic stroke.
What is a CT without contrast?
These are acceptable routes for antibiotic administration to achieve our quality core measure goal.
What is IV, IM, or IO?
Make sure you do this prior to giving anything by mouth.
What is a bedside swallow screen?
Anticoagulants and antithrombotics increase the risk of this type of stroke.
What is intracerebral hemorrhagic stroke?
This is the Sepsis bolus amount that should be given for a patient who meets Sepsis criteria with SBP <90.
What is 30ml/kg?
This is an acceptable VTE prophylaxis for CVA patients, but not DVT/PE patients.
What are SCDs (Teds are unacceptable)?
Name the 2 types of meds that the nurse needs to be sure the MD ordered @ discharge for Stroke patients.
What is an antithrombotic and statin (for LDL >70)?
The type of ischemic stroke caused by a clot or plaque fragment that travels through the bloodstream to the brain.
What is an embolic stroke?
The first LA is >2. When should you order a repeat LA.
What is 4 hours?
These 3 items should be ordered for a Septic patient w/in 3 hours of presentation.
What is a LA, Blood Cultures, and Antibiotics?
This person may present with dizzyness, HA, nausea & vomiting, ALOC, frequent falls, visual disturbances, weakness of extremity, etc.
What is a Stroke patient?
This lab test must be drawn within 48 hours of arrival for Stroke patients?
What is a Lipid Analysis?
For a patient who presents with or has sudden onset of Chest Pain, an EKG has to be performed by staff and Read by MD w/in this amount of time.
What is w/in 10 minutes?
This clot-busting drug must be given within 3 hours of onset of stroke symptoms and no later than 4.5 hours.
What is tPA?
These have to be collected from 2 separate sites prior to antibiotics being given. (3 hour time frame for PNA and Sepsis).
What are blood cultures x 2?
Blood Cultures must be collected B4 antibiotics and w/in this amount of time from previous collection for sepsis patients.
What is 48 hours?
For both CP and Stroke patients (CVA v/s TIA), an ASA has to be given w/n this amount of time.
What is w/n 24 hours?
Beta Blockers, ACE/ARB's, ASA, P2Y12 inhibitors, and Cardiac Rehab are treatments that this type of patient should have ordered @ discharge.
What is an MI patient?
These are some names of the meds that should be ordered and given w/n 24 hours of admit for VTE prevention.
What is Heparin, Coumadin, Lovenox, or Xarelto?
This type of therapy should be ordered for Stroke patients with extremity weakness.
What is Physical Therapy Eval?
The route ASA can be given for stroke or chest pain patients.
What is PO or Rectal?
Antibiotics for SCIP (major surgeries such as hip/knee, colon, hysterectomy) patients must be given within this amount of time of incision?
What is 60 minutes?
This should be documented in the chart (ex. progress note) if you are aware that a patient's condition requires a SEPSIS fluid bolus but MD states contraindication.
What is sepsis fluid bolus not given, MD/DO name, and reason?
A Troponin is to be collected and resulted w/in this time frame for a patient w/ active chest pain.
What is 60 minutes?
You must have parts A (suspect or actual infection), B (SIRS), and C (organ dysfunction) to meet this condition?
What is Severe Sepsis?