Neuro Soup
Initial Neuro assessment performed on patient's presenting as Stroke which gives some insight to the severity of the infarct
What is the NIH Stroke Scale?
F= Facial drooping
A= Arm weakness
S= Speech difficulty
T= time ( to call 911!)
What are the signs and symptoms of acute Stroke?
The most impactful modifiable risk factor to reduce the risk of Stroke.
What is Hypertension?
This is the target time for the provider to assess the patient immediately following the presentation of stroke-like symptoms.
What is 5 minutes?
The interruption of blood flow to brain by clot or ruptured blood vessel.
What is a Stroke?
Speech disorder in which a person has difficulty saying what he or she wants to say correctly and consistently.
What is aphasia?
Symptoms are "Stroke-like" but resolve in a short 24 hours.
What is Trans Ischemic Attack ( TIA)?
Also known as Broca's aphasia
What is expressive aphasia?
This is the target time to obtain non-contrast CT brain on suspected Stroke patient.
What is within 25 minutes of arrival?
Patients with atrial fibrillation should be considered for this time of medication therapy.
What is Anticoagulants?
Common cause of transient ischemic attack (TIA)
What is plaque buildup?
The results of this assessment depict best eye opening, best verbal response, and best motor response.
What is the Glasgow Coma Scale (GCS)?
Anticoagulants and thrombolytics increase the risk of this type of Stroke.
What is Hemorrhagic Stroke?
This is the target time for the stat CT brain to be read by the radiologist.
What is 45 minutes from arrival time?
The nurse must assess for this MAIN complication after giving tPA/anticoagulant.
What is Bleeding?
Assessment is done by nurse or speech prior to giving patient food/water
What is a swallowing test?
This clot-busting medication must be administered within 3 hours of the last known well time (onset of symptoms) for acute ischemic stroke.
What are tPA/Activase (Alteplase)?
Drooling, coughing, and difficulty swallowing are all signs that the patient may be experiencing this condition.
What is Dysphagia?
This is the target time for the administration of thrombolytics to a patient with a suspected stroke.
What is 60 minutes?
This is the most common type of Stroke, and makes up for 87% of all Strokes.
What is Acute Ischemic Stroke?
Supplemental oxygen should be provided to maintain SpO2 greater than ___ %.
What is 94 % ?
This nursing intervention is performed on patients showing altered mental status or decreased LOC that could mimic Stroke.
What is a Blood Glucose check?
The patient has a significantly decreased LOC, and Left sided flaccidity. You suspect the patient is having a stroke, but cannot speak. This is your primary nursing intervention.
What is airway protection ?
This is the frequency of neuro checks and vital signs immediately following tPA administration.
What is Q 15 min X 2 hours?
The most common symptom of a patient with a Subarachnoid hemorrhage is?
What is a thunder-clap headache?