NIHSS Know-How
Frequency of NIHSS assessments if the patient is on the stroke units and does not get Tenecteplase
What is every 4 hours?
The stroke patient will be kept NPO until this is completed
What is the Yale Swallow Screen?
This medication for stroke treatment can cause bleeding.
What is Tenecteplase?
Less than or equal to 45-60 minutes
What is door to needle time in stroke?
This lobe processes images from your eyes.
What is the occipital lobe?
Assessing for a facial palsy in domain 4
What is ask the patient to show you their teeth, raise and lower their eyebrows, and close their eyes tight?
Less than or equal to 185/110
What is the goal of BP management in acute ischemic stroke with Tenecteplase administration?
Last known well time of 4.5 hours or less
What is the last known well time needed for Tenecteplase administration?
By the end of hospital day #2
What is the time metric for ordering VTE prophylaxis and/or antithrombotics post stroke?
This lobe controls voluntary movement, speech formation, reasoning, and judgment.
What is the frontal lobe?
Domain where you test by moving your finger side to side to see if patient follows it
What is best gaze (Domain 2)?
This diagnostic test must always be done at the start of a stroke alert to rule out the most common stroke mimic
What is accucheck (or bedside blood glucose check)?
The reversal agent for Tenecteplase
What is Cryoprecipitate?
Less than or equal to 35-45 minutes
What is door to CT read time in stroke?
This lobe assists in understanding language and processing auditory input.
What is the temporal lobe?
This domain tests for how clear the patient's speech is
What is dysarthria (domain 10)?
When a CTA head or neck is done in a stroke
What is if the NIHSS is greater than or equal to 6 and the patient is a tier 1 or 2 stroke alert?
Another complication caused by Tenecteplase and ACE Inhibitors
What is angioedema?
20-25 minutes
What is the time metric for door to CT completion time in stroke?
This area of the brain assists in formation of speech.
What is Broca's area?
This score in the facial palsy domain shows that the patient has a flattened nasolabial fold
Head of bed elevation for a large vessel occlusion, prior to their transfer, without contraindications
What is head of bed at zero degrees elevation?
Speed at which Tenecteplase is administered IV
What is over 5 seconds (IV push)?
This tier of alerts has a last known well time of 4.5-24 hours.
What is a tier 2 stroke alert?
This lobe assists in pain, proprioception, and spatial orientation.
What is the parietal lobe?