Symptoms
Quick Acronym Assessment for Stroke
What is B.E.F.A.S.T. (Balance, Eyes, Facial Droop, Uneven Smile / Arm numbness, weakness / Slurred Speech or difficulty speaking or understanding / Time – call RRT and get to help immediately)
Neuro checks are documented here
What is Iview?
90 mg
What is the maximum dose for tPA?
Occurs when the muscles you use for speech are weak or you have difficulty controlling them
What is Dysarthria
Occurs when a local thrombus or embolus occludes a cerebral artery
What is an ischemic stroke?
Bleeding, angioedema, anaphylactic reaction, and/or further deterioration of neurological status
What are complications of fibrinolytic administration?
Frequency of vital signs and neurological assessment during tPA administration
What is every 15 mins?
The maximum systolic blood pressure for administering tPA.
What is 180 mmHg?
Group of interventions to prevent blood clots from developing in the lower extremities
What is VTE (venous thromboembolism) Prophylaxis?
Typically results from a ruptured cerebral aneurysm
Nausea/vomiting and "worst headache ever!"
What are symptoms of an Intracranial Bleed?
Scale commonly used in Western NC to assess for LVO (Large Vessel Occlusion)
What is RACE (Rapid Arterial oCclusion Evaluation) ?
0.9mg/kg
What is the recommended treatment dose of tPA?
Inability to understand
What is Receptive Aphasia?
Complete resolution of symptoms in 24 hours
What is TIA (transient ischemic attack)?
May present with acute visual changes or balance/gait disturbance
What is a Posterior Stroke?
If any part of this assessment is positive, there is a 72% probability of a stroke.
What is CPSS (Cincinnati Pre-hospital Stroke Scale)?
May require Interventional Radiology
What is a LVO (Large Vessel Occlusion)?
Inability to speak or write
What is Expressive Aphasia?
Smoking, Hypertension, Obesity, Hypercholesterolemia, and Sedentary Lifestyle
What are modifiable risk factors?
May present with Quadriparesis or Crossed Signs (1 side of face & contralateral body)
What is a Brainstem Stroke?
Patient must be kept NPO until this assessment is completed
What is a Bedside Swallow Screening?
It is at this time the window opens for emergent therapy
What is LKW (Last Known Well)?
Inability to recognize familiar objects such as your own arm
What is Agnosia?
The most common stroke mimic
What is Hypoglycemia?