An ischemic stroke caused by an embolus arising within or traveling through the heart.
What is cardioembolism?
100
Assessment used to quantify stroke symptoms and measure neurological function
What is NIHSS?
100
The quality of stroke care provided are measured by these.
What are quality measures?
100
This person makes the decision to call a code gray
Who is attending MD or neurologist?
100
Acute stroke patients should have rapid evaluation by a non-contrast CT to help identify exclusion criteria for TPA such as this.
What is intracerebral hemorrhage?
200
An ischemic stroke occurring in small arteries that sprout from larger arteries. Common in patients with a history of HTN, DM, smoking, hypercholesterolemia
What is lacunar (small vessel) stroke?
200
These are the required components of a neuro check
What is GCS, pupil assessment (size, shape, reaction), Strength scale all four extremities
200
This must be documented by MST or RN by end of hospital day 2.
What is DVT prophylaxis (SCDs or Lovenox)?
200
We do this to avoid aspiration pneumonia in stroke patients.
What is dysphagia screen?
What is provide good oral care?
200
This is why we allow permissive hypertension immediately following an ischemic stroke.
What is maintain cerebral perfusion?
300
An ischemic stroke causes by occlusion or stenosis of a major large artery making up the circle of Willis or a major arterial branch.
What is large artery atherosclerosis or large vessel occlusion (LVO)?
300
A person you can call for questions or issues regarding stroke patients.
What is neuro call team or neuro care coordinator?
300
This medication should be prescribed by discharge if LDL > 70 or was previously taken this medication at home.
What is statin?
300
This is the upper level at which we treat blood pressure for ischemic stroke patients.
What is SBP 220 mmHg and DBP 120 mmHg?
300
A patient with a large left middle cerebral artery (MCA) stroke, with symptom onset 4 days ago, starts exhibiting decrease level of consciousness with difficulty arousing patient. A STAT CT brain will demonstrate this complication.
What is cerebral edema?
400
An ischemic stroke with an undetermined cause after exhaustive work-up for other pathogenic mechanisms has been performed and MD cannot definitively determine the cause. Sometime patients have more than 1 likely cause of stroke.
What is cryptogenic stroke?
400
This should be documented every 2 hours x 4, then every 4 hours
What is neurological checks and vital signs?
400
Patients with atrial fibrillation should receive this at discharge
What is anticoagulatant?
(Coumadin, Xarelto, Paradax)
400
These medications are prescribed for secondary prevention of stroke.
What is antithrombotic, statins, anticoagulant for afib/flutter?
400
Bleeding from this spreads over the surface of the brain resulting in a subarachnoid hemorrhage
What is ruptured cerebral aneurysm?
500
BONUS QUESTION!!!!
This is the most significant risk factor of stroke
What is HYPERTENSION?
500
Decrease level of consciousness, pupil changes, decreased motor strength or posturing are signs of this.
What is sign and symptoms of increase ICP?
500
Learning method of stroke education that is required to be documented.
What is written?
500
These are the required elements of patient education.
What is signs/symptoms of stroke, call 911 for stroke symptoms, Individualize risk factors, medications prescribed, & MD follow-up?
500
This is the outer covering of the cerebrum. It is often referred to as the gray matter.