S is for
Balance, eyes, face, arm, speech, time.
What are signs of a stroke?
How do you spot a stroke?
Right sided physical deficits.
What is a left-sided stroke manifestation?
A patient is seen in the Emergency Department at 1520 with complaints of blurry vision and left-sided arm weakness. The symptoms started at 1345.The patient is taken to CT and a hemorrhagic stroke is ruled out. This drug can be given.
What is tPA?
What is alteplase?
What is tissue plasminogen activator?
Temporary stroke symptoms that resolve over time and patient returns to baseline. This can be considered a warning sign for impending stroke.
What is a Transient Ischemic Attack (TIA)?
This electrolyte imbalance can lead to a seizure.
What is hypernatremia?
OR
What is hyponatremia?
Repeated seizure activity in 30 minute time frame OR a single seizure activity lasting more than 5 minutes.
What is status epilepticus?
Left-sided physical deficits.
What is a right-sided stroke manifestation?
Administer this medication during status epilepticus.
What is IV push diazepam?
OR
What is IV push lorazepam?
OR
What is IV benzodiazepines?
What is an ischemic stroke?
This type of seizure involves both hemispheres and can be described using terms such as tonic, clonic and atonic.
What are generalized seizures?
A patient with generalized seizures is admitted to the unit. You will make sure this is set up and working in the patient's room.
What is suction?
A stroke patient with aphasia is working with speech therapy. The patient quickly becomes frustrated when they can not write their name and throws the pen across the room. The nurse recognizes the patient is exhibiting this.
What are left-sided stroke manifestations?
A sexually active female patient on oral contraceptives was recently diagnosed with epilepsy and placed on this long term medication. The nurse will educate the patient to use a second form of birth control or change methods to prevent an unintended pregnancy.
What is phenytoin?
This focused assessment is a nurse's priority when taking care of stroke patients.
What is a neurological assessment?
A patient with epilepsy describes their seizures as a sudden change in extreme feelings while remaining alert. The patient is describing this kind of seizure.
What is a Focal Awareness Seizure?
A patient is having a seizure in their bed. The nurse places the patient in this position to prevent aspiration.
What is side-lying position?
A patient with a right-sided stroke repeatedly injures their left side due to walking into door frames and sleeping against the left side bed rail. The nurse recognizes the patient is experiencing this.
What is unilateral neglect syndrome?
This medication will breakdown or dissolve blood clots.
What is tPA?
tPA is not a treatment option for this type of stroke.
What is hemorrhagic stroke?
Electrical activity that starts in a specific region of cortex in one hemisphere of brain.
What are Focal-Onset Seizures?
Agnosia, poor impulse control, agraphia, and hemiplegia are clinical manifestations of this.
What is a stroke?
The inability for the patient to name objects such as a spoon, comb and shoe.
What is agnosia?
A patient on phenytoin is educated on interventions to prevent this adverse effect of excessive gum tissue growth.
What is gingival hyperplasia?
Hypertension, smoking, illicit drug use, oral contraceptives and atherosclerosis.
What are modifiable risk factors for stroke?
What is an Electroencephalogram (EEG)?