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This assessment tool is used to quantify stroke symptoms and measures neurological function
What is NIHSS
Targeting a systolic blood pressure of ≤140 mm Hg is safe and beneficial in this type of stroke
What is a hemorrhagic stroke?
Aneurysmal rupture leading to bleeding around the brain tissue
What is a SAH?
Potentially re-perfusable/salvageable brain tissue (if intervention is done quickly)
What is penumbra?
A patient is admitted to ICU post-TPA administration, neurological checks, vital signs, angioedema, and bleeding risk should be documented how often?
What is every 15 minutes for 2 hours, every 30 minutes for 6 hours, and every hour for 18 hours
It is recommended that this stroke scale be done on admission, every shift, PRN for neurologic changes, and prior to discharge
How often the NIHSS should be done?
This is the upper level at which we treat blood pressure for non-tpa ischemic stroke patients
What is SBP 220 mmHg and DBP 120 mmHg?
Treatment for aneurysmal SAH can be achieved with these two surgical procedures
What are aneurysm clipping and coiling?
This ischemic stroke treatment involves using aspiration or a stent retriever device to remove a clot in a large blood vessel of the brain
What is endovascular mechanical thrombectomy?
Vomiting, widening pulse pressure, rising blood pressure, headache, bradycardia, anxiety/confusion, blurred vision, cheyne stokes respiration, sluggish pupils can indicate this neurologic emergency
What is a sign and symptom of increase ICP?
This test is done to avoid aspiration pneumonia in stroke patients
What is dysphagia screen?
Why we allow permissive hyptertension immediately following an ischemic stroke
What is maintain cerebral perfusion?
This test is ordered for a post tPA patient who develops a severe headache, acute hypertension, nausea, vomiting, and has a worsening neurologic exam
What is an emergent non-contrast CT?
The “gold standard” for visualizing aneurysms or occlusions in blood vessels as they pass into the skull and brain (intracranial vessels).
What is cerebral angiography?
The preferred method for DVT prophylaxis post tPA?
What is SCDs?
Sharing the same name as a city in Ohio, this pre-hospital stroke scale is commonly used by EMS
What is the Cincinnati Pre-Hospital Stroke Scale
Blood pressure goal for acute ischemic stroke patients who received r-tPA (Alteplase)
<180/105 mmHg
This medication is used for the prevention of vasospasms in SAH
What is Nimodipine
The clinical trial that allow us to treat stroke patient up to 24 hours from last seen normal
What is the dawn Trial?
The most common electrolyte abnormality in SAH
What is hyponatremia?
With possible scores of 1 to 5, this grading scale is used to classify Subarachnoid Hemorrhage
Hunt & Hess Grading Scale
Name 2 first-line anti-hypertensive drugs for use in hypertensive patients receiving t-PA
IV Labetolol or Nicardipine
A mass of arteries and veins not connected by a normal capillary network that increase the risk for hemorrhagic stroke
What is Arteriovenous malformation (AVM)?
CT imaging study aids in the detection of salvageable tissue (penumbra) from the unsalvageable (core infarct).....thereby avoiding CONFUSION
What is CT PERFUSION?
Hypervolemia, hypertension and _______ are part of "triple H" therapy used to treat vasospasm post aneurysm coiling
What is hemodilution?