Stroke
BP parameter <140/<90
Goal for patient with Spontaneous ICH/SAH
Pt. with subdural hematoma post fall
Traumatic Bleed
Q 15 min assessment of VS, NIHSS, complete neuro, and Thrombolytic reaction
Post TNK documentation
antihypertensive medication drip in stroke
Nicardipine second line
Eye Opening - Spontaneous
Verbal Response- Oriented
Motor Response- Obeys commands
Glascow Coma Scale score 15
Complications to monitor post TNK
Bleeding
Angioedema
Pt. with hx HTN, no trauma with Intracerebral hemorrhage
Spontaneous ICH
Change in LOC
new HA
N/V
NIHSS increase greater or equal to 3 points
Criteria to notify MD
Labetalol 10mg every 10 min. x2
First line antihypertensive with in strokes
GCS
Pupils
Grips, pushes, and pulls
Complete neuro exam
20 minutes
Door to CT Goal
BP <140/<90
Spontaneous hemorrhage BP goal
lips swelling
Angioedema
Benadryl epi pepcid solumedrol
treatment for angioedema
NIHSS, Neuro, VS Q30 x4
Documentation for code 20
LKW <4.5 h PTA alert
Code Neuro
Bed position in pt. with Intracerebral hemorrhage
>30 degree's
pt. is at increased risk for angioedema
Pt. taking ace inhibitors
Diuretic used to decrease intracranial pressure
Mannitol
Every stroke TIA, Ischemic, and bleed requires a
Swallow screen
LKW 16 hr with weakness and aphasia
Positive VAN score-code neuro- Large Vessel Occlusion Candidate
220/110 BP
Permissable HTN in Ischemic stroke, no TNK
Team pause prior to administering TNK
Time out
prophylactic medication to prevent seizures
document document documment
all delays for CT, Blood, TNK