Primary Stroke Center
Who is the Joint Commission?
An initial exam performed when a patient has a sudden onset of a neurological change.
What is MEND?
CAT Scan
What is the diagnostic test that must be performed and resulted prior ordering tPA?
High Blood pressure; diabetes; smoking and obesity.
What are modifiable risk factors for stroke which should be priority for stroke education.
Dogs can't operate this.
What is a CAT Scan?
This core measure is a primary responsibility.
What is Stroke Education?
Must be completed before administering anything po
What is a Bedside Swallow Screen?
Up to 90 mg of tPA
What is the maximum dose of tPA for acute ischemic stroke treatment?
.
What is when to call 911 immediately for possible stroke symptoms?
This really gets on my nerves.
What is myelin?
Before discharge, patients need to be assessed for these services.
What are rehabilitative services?
Your patient received TPA, and should be monitored for this.
What is worsening mental status/brain hemorrhage?
The name of the stroke cart used for Neuro Telemedicine
what is the REACH cart?
Age, race and gender
What are the non-modifiable risks of stroke?
What are too many strokes?
This medication needs to be given before day 2 in ischemic stroke patients.
What are aspirin and other anti-thrombotics?
A quick, field exam that EMS uses to assess for stroke symptoms
What is the CPSS (Cincinnati Prehospital Stroke Scale)?
Performed every 15 minutes X 8; then every 30 minutes X 12 and then every hour X 16.
BEFAST
What is education about stroke warning signs taught to patients?
The Weeknd should probably be checked out.
This term is used to describe the time that symptoms began, to the time the patient was given thrombolytic.
What is "Door-to-Needle?"
3 - 4.5 hours
What is the time limit in which tPA can be administered from onset of symptoms?
After starting tPA administration, pt has worsening or change in mental status, the next nursing interventions
What is stop infusion, obtain non-contrast head CT and notify provider?
Information on reason and side effects of anticoagulation, statin, anti-hypertensive medication.
Required discharge teaching for all stroke patients.