Roles
Reads the CT scan within 15 minutes of completion
Radiologist
What is the color of tPA?
Clear
Diet for suspected stroke.
NPO
BE FAST is the acronym for
Balance, Eyes, Face, Arms, Speech, Time
Name the two types of strokes.
Ischemic stroke and hemorrhagic stroke
Prepares tPA as necessary.
Pharmacist
This medication is given for ischemic stroke.
Tissue Plasminogen Activator (tPA)/ Alteplase
T/F
Flush IV tubing with 25ml NS after administration of tPA
True
Why is it important to check blood glucose?
Hypoglycemia may mimic stroke
What is used to prime the tubing for tPA?
tPA
Activates code stroke in the in-patient units.
Nursing supervisor (OTS)
This medication is administered for claustrophobia prior to CT scan.
Ativan
Intervention for hemorrhagic stroke
Monitor for increased Intracranial pressure (ICP)
T/F
Immediately stop tPA if bleeding from gums or IV site
False
LKWT stands for
Last known well time
tPA administered by_____?
Registered Nurse
Medication and maintenance dose for post-stroke.
aspirin 81mg (baby aspirin)
_____% of tPA is infused over ______minute(s).
90%
60 minutes
Contraindications for tPA
hemorrhagic stroke, systolic BP >185, diastolic BP <110, transient ischemic attack (TIA)
What is the antidote for tPA?
Aminocaproic acid
Confirms diagnosis of stroke.
Neurologist
Dosage and maximum dose for tPA.
0.9mg/kg
Maximum dose: 90mg
_____% of tPA is given IV push over ______minute(s).
10%
1 minute
Stroke screening tool- Los Angeles Pre- Hospital Stroke Scale (LAPSS)
Age >45, history of seizures, new onset of neurologic symptoms (<24hrs), changes to baseline and ambulatory status, blood glucose level <60, facial, grip, upper and lower extremity asymmetry
Vital signs per protocol.
q15 minutes X 2 hours
q30 minutes X 6 hours
q1 hour X 16 hours