STROKE ALERT
Actions staff take when patient has sudden onset of stroke symptoms occurring < 24 hours from time last known normal (LKN).
What is activate a stroke alert?
A commonly ordered test to determine if a stroke has occurred and what kind of stroke.
What is a CT scan of the head without contrast?
Time from last known normal to 4.5 hrs
What is treatment window for IV thrombolytic?
A patient should have two of these before going to CT during a stroke alert.
What is large bore IVs?
The number you call to activate an inpatient stroke alert.
What is 911 (internal)?
Sudden onset of dizziness, visual changes in one or both eyes
What is posterior circulation stroke symptoms?
A commonly ordered test used to diagnosis an acute ischemic stroke.
What is an MRI?
Clot-busting drug given for ischemic stroke
What is IV thrombolytic (alteplase/tPA or Tenecteplase/tNK)?
Time from symptom onset/ symptom awareness to IV thrombolytic bolus.
What is 45 minutes?
Do this when a patient is unconscious or unresponsive.
What is activate a code blue?
Sudden loss of coordination
What is ataxia?
Commonly ordered tests using IV radioactive compounds.
What are CTA and MRA?
Eligible patients can receive this treatment within 24 hrs of LKN and have a large vessel occlusion stroke.
What is Mechanical thrombectomy or emergency neuroendovascular intervention?
Person (people) who determine the patient's eligibility for acute ischemic stroke treatment.
Who is the stroke team (Stroke neuro and/or neurosurgery)?
Notify primary service, unit TL, and RRN
What are actions to take before activating a stroke alert?
Sudden onset of "worst headache of your life" or thunderclap headache w/o nausea and/or vomiting
What are symptoms of subarachnoid hemorrhage?
Advanced modality imaging used to identify "infarct core" and "stunned area/tissue" in the brain during an acute ischemic stroke.;
What is CT Perfusion Imaging?
Medication that can be given if a patient is on an anticoagulant and has an intracerebral hemorrhage.
What is a "reversal agent"?
This is an escalation from a stroke alert.
What is Code Stroke LVO?
Patient location, primary nurse's name, and 5-digit call back number.
What is information to give operator after calling 911?
Gaze deviation, aphasia (expressive, receptive, or global), and agnosia (inability to recognize an object or person).
What are cortical signs of large vessel occlusion stroke?
Protocol developed to identify patients who awoke with stroke-symptoms and are in the time window/ eligible for IV thrombolytic.
What is "Wake-Up" MRI or "Wake-Up" protocol?
Inpatient location where a patient is transferred to after receiving acute stroke treatment.
What is the intensive care unit?
This is the most important thing to control when a patient has a hemorrhagic stroke.
What is high blood pressure?