Enter Title

What Am I?

100

A bedside swallow screening done at bedside before a patient can receive anything by mouth, including medication, water or food.

Yale Swallow Protocol

200

Acronym used for recognizing signs and symptoms of a stroke

B E F A S T

300

Leading cause of long-term disability

Stroke

400

IV thrombolytic used for treatment of acute ischemic stroke

Tenecteplase -first choice at Stony Brook

Alteplase - FDA-approved 

500

Area of brain at risk of progressing to infarction but is still salvageable if reperfused, located around an infarct core.

Ischemic penumbra

-The primary aim of current acute stroke intervention is to prevent the penumbra from proceeding to established infarct. 

Code BAT/Code CSI

100

Target time for CT Scan from symptoms discovery

Less than 25 minutes

Stretch goal of less than 15 minutes

200

Criteria for calling a Code BAT in the inpatient units

Signs and symptoms of a stroke within 24 hours of last known well

300

Name some exclusion criteria for IV thrombolytics

Including but not limited to: 

last known well >4.5 hours, ICH / SAH, stroke within last 3 months, B/P>185/110 despite treatment, nondisabling stroke, severe head trauma or intracranial/intraspinal surgery within 3 months, PLT <100 000/mm3, INR is >1.7 or PT is abnormally elevated, on therapeutic Lovenox dose or DOAC, aortic dissection,  infective endocarditis.

400

This is called for patients who is suspected to have a large vessel occlusion

Code CSI 

-both Neurology and Neurosurgery respond to the Code

-eliminates possible delay for thrombectomy

500

Target adminitration time for IV thrombolytic

Less than 60 minutes

Stretch goal of 45 less than minutes

Stroke Care

100

Blood pressure target recommended after IV thrombolytic (Alteplase or Tenecteplase)

<180/105 mmHg

200

Name 2 stroke core measures

Stroke Education; Antithrombotic by day 2; VTE  prophylaxis; Anticoagulation at discharge if with Afib; PT/OT assessment; Statin

300

Recommended monitoring frequency after IV thrombolytic administration

Vital signs and Neurological checks: every 15 minutes for 2 hours, every 30 minutes for 6 hours then 1 hour for 16 hours

NIHSS every 8 hours for 48 hours

400

Name some risk factors for stroke

Including but not limited to:

High blood pressure;  Cholesterol; Diabetes;  Atrial Fibrillation; Carotid disease; Smoking; Hypercoagulable state

500

Usual target blood pressure for hemorrhagic stroke patients

SBP < 140

or SBP < 160 if recommended by Primary Team depending on patient case