Stroke
Produces signs and symptoms of a stroke that can last a few minutes to hours and resolve
What is Transient Ischemic Attack (TIA)
Slurred or slow speech
What is dysarthria
Measures overall health and helps diagnose infection, anemia, and clotting problems
What is CBC
Observation of breathing rate, pattern and effort, use of accessory muscles, skin color, and symmetry of expansion.
What is Respiratory Assessment
Q 15 mins x 2 hours, Q 30 min x 6 hours, Q 1 hour x 16 hours, then every shift, PRN is status change, and at discharge.
What is Neurologic Checks
(credit for NIHSS)
Occurs when a blood vessel bursts, leaking blood into the brain.
What is Hemorrhagic stroke
Loss of ability to understand or express speech
What is aphasia
Measures how quickly your blood clots
What is PT/INR and PTT
Travel method placed on standby after Stroke Alert is activated
What is Flight/Air Methods
Active internal bleeding, Bleeding diathesis, Current severe uncontrolled hypertension, Recent (within 3 months) intracranial or intraspinal surgery or serious head trauma
What is contraindications for antithrombotic therapy
Department patient is admitted to if receiving TPA
What is ICU
Difficulty with swallowing
What is dysphagia
This test looks at substances in your blood called electrolytes.
What is CMP
This warning sign tool assess Facial drooping, Arm weakness, Speech difficulties and Time.
What is BE F.A.S.T
Infuse remaining amount of TPA over
What is 60 minutes
Occurs when a blood vessel supplying the brain becomes blocked, as by a clot.
What is Ischemic stroke
Weakness on one side of the body
What is hemiparesis
This bedside test measures the glucose in your blood.
What is FSBS
Rapid assessment and intervention to any non-ICU patient who's experiencing acute clinical deterioration
What is Rapid Response
Maximum dose of TPA
What is 90 mg
Door to CT interpretation
What is < 45 minutes
Loss or poor muscle control that affects movement and coordination
What is ataxia
STAT imaging ideal for identifying whether the stroke is hemorrhagic or ischemic.
What is CT Head- Stroke protocol (w/o contrast)
CRMC uses this systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit within 15 minutes of arrival to the ED or RR
What is The National Institutes of Health Stroke Scale (NIHSS)
TPA IV Bolus
What is 10% of total dose over 1 minute