Your mom went to pharmacollege
This Osmotic Diuretic can only be used with provider order and administered to confirmed stroke patient.
Mannitol
Three most predictive findings for stroke
facial droop, arm drift or weakness, abnormal speech
In suspected and confirmed stroke, this is the blood pressure at which normal saline and vasopressors should be administered.
SBP less than 90mmHg
tPA or TNK would not be given in this type of stroke
Hemorrhagic
is the most common type of stroke
Ischemic
This antihypertensive has a max cumulative dose of what?
Labetalol, 300mg.
Should be recorded every 15 minutes
Neurologic assessment
This defines "profound hypertension" in suspected stroke.
SBP greater than 220mmHg.
Describes Cushing's Triad
decreased heart rate, irregular respirations, increasing SBP specifically characterized by widening pulse pressures
other differentials to consider
hypoglycemia, seizure, sepsis, encephalitis, brain tumor, etc...
This antihypertensive can only be administered in an infusion.
Nicardipine
This should be obtained and recorded as it is valuable information in determining thrombolytic eligibility
last known normal
This confirmed hemorrhagic stroke blood pressure goal should not be until when?
Goal SBP less than or equal to 140mmHg, do not treat until greater than 150mmHg or two consecutive checks 5 minutes apart.
a common symptom of hemorrhagic strokes that the provider should be prepared to treat
seizures
ischemic stroke patients should be placed in this position for transport.
Supine
This serotonin receptor antagonist can be used for our more bilious stroke patients
Ondansetron
This is the leading cause of stroke
High blood pressure.
Others include high cholesterol, heart disease, diabetes, obesity, sickle cell and having previous TIA's.
Goal SBP less than 220mmHg
What is confirmed ischemic stroke SBP goal, if patient is not a thrombolytic candidate.
This medication should not be administered after how many hours from initial insult?
TXA. 3 hours.
This medication is used first to treat hypotension in stroke patients
Normal Saline
is the reversal agent for Eliquis
Andexanet Alfa (Andexxa) or Kcentra
This stroke assessment tool is specifically named in PCG M16 and M17
Cincinnati Pre-Hospital Stroke Screening.
SBP less than 185mmHg.
this type of bleed occurs between dura matter and the arachnoid matter
subdural hematoma
This is the reason why 12 lead EKG's are important to obtain on stroke patients
metabolic demand can cause ischemia to the heart.