Types of Stroke
This type of stroke occurs when blood flow to the brain is blocked by a clot, causing death to brain tissue
What is Ischemic Stroke?
Emergency Department patients activated as a stroke alert must be to the CT scanner within _______
What is 20 minutes?
This term refers to a heart rate greater than 100 beats per minute....
What is tachycardia?
Every patient should have this set of labs completed wihtin 48 hours
What is a lipid profile/panel?
What is a common mimic for stroke?
Hint: Patients may be confused, tachycardic, tachypenic, and have abnormal labs!
What is sepsis?
This type of stroke occurs when there is bleeding WITHIN the brain tissue
What is an intracerebral hemorrhage?
Inpatient Stroke Alerts should be to the CT scanner in ______
What is 25 minutes?
This term refers to a respiratory rate greater than 20 breaths per minute
What is tachypnea?
The two types of medications every patient should be discharged with
A condition defined as persistent hypotension and organ dysfunction despite fluid resuscitation
What is Septic Shock?
This type of stroke occurs when blood flow to the brain is temporarily blocked but the body is able to clear it without intervention
What is a Transient Ischemic Attack (TIA)?
Patients with a last known well of 3.5-4 hrs who presented to the ED should receive IV thrombolytics within _______
What is 60 minutes?
The correct dose of fluids to treat sepsis
What is 30 ml/kg?
Patient's must have this performed before they can have any PO intake...including medications
The goal Mean Arterial Pressure (MAP) for patients experiencing sepsis/septic shock
What is 60-65?
This type of stroke occurs when there is bleeding in the space between the brain and the surrounding membranes
What is a subarachnoid stroke?
What part of the Sep-1 bundle should be completed within 3 hours from time zero?
What is antibiotic and fluid administration?
Septic shock occurs when an infection triggers the release of inflammatory mediators, leading to (3)...
Widening of blood vessels
Leakage of fluid from the blood into the tissues
Organ ______
What is vasodilation, increased capillary permeability, and organ damage/dysfunction?
What 3 services should be consulted for EVERY stroke patient?
What are PT, OT, and Speech Therapy?
Name three possible signs/symptoms of sepsis
What Is....
Tachycardia
Tachypnea
Diaphoresis
Increased O2 requirement
Increased WBCs and/or lactic acid
Altered Mental Status
MAP < 65
BONUS QUESTION: Most strokes have a known cause such as small vessel disease or cardioembolism, but this type of stroke is defined as a stroke of unknown cause...
What is a cryptogenic stroke?
BONUS QUESTION: If a patient meets SIRS criteria at 0830 and has a lactic acid of 4.5, when should they have their SECOND lactic acid drawn?
What is before 1430 (2:30 pm)?
BONUS QUESTION: Name 3 common sources of Sepsis in our patient population
What is pneumonia (respiratory infections)?
What is a UTI?
What is a wound infection?
BONUS QUESTION: The neurological test that should be performed on ALL possible stroke patients, preferably within 12 hours.
What is the NIHSS?
BONUS QUESTION: The preferred, first-line vasopressor in treating patients with septic shock