EDUCATION
2 different types of risk factors related to stroke
What are Modifiable and Non-Modifiable
The most important inclusion/exclusion criteria for the administration of alteplase
What is the Last known well?
Considered gold standard imaging for stroke alert(s)
What is non-contrast head CT?
What is cranial nerve 1 (olfactory) and cranial nerve 2 (optic)
The ability of neuron in the brain to change through growth and reorganization, like rewiring to function in a way different then how it functioned previously
What is neuroplasticity?
Completed on all rule out stroke/tia patients on admission and each shift
***bonus***
What is Stroke Education?
****The education must be****
What is Blood Glucose?
Requires use of contrast material and portrays ischemic tissue by showing decreased blood flow
What is CT Perfusion head and neck?
What is cranial nerve 3 (oculomotor)
Therapy expected after a failed dysphagia assessment
What is speech therapy?
This continues while admitted until neurologist, attending and or stroke coordinator discontinues it
What is the Stroke Pathway/protocol?
The strict documentation and monitoring for 24 hours post alteplase required by Joint Commission
What is vs/nih q15 min x 2hours, vs/nih q30 min X 6 hours, vs/nih q1h 16 hours?
More sensitive and specific than a CT for diagnosing acute ischemic stroke
What is a MRI?
The longest cranial nerve originating in your cerebrum, provides motor and sensory in swallowing
What is the Vagus or 10th Cranial Nerve?
Three types of rehab therapy
What is physical, occupational and speech?
Three discharge elements required for all stroke or TIA patients
What is discharge NIH, mRS (completed by PT/OT), and correct medications ordered on AVS?
Anticipate administering solumedrol and benadryl, adn monitoring airway, after promptly stopping the alteplase infusion
What is angioedema?
Evaluation of heart chambers and valves to rule out cardiac anomaly
What is echocardiogram?
Assessing this cranial nerve, by asking client to "stick out tongue"
What is cranial nerve 12
Most common emotional disturbance stroke survivors are at risk of
What is depression and or hopelessness?
Required by nursing staff working on neuro units and or emergency department yearly
What is NIHSS certification?
Blood pressure goals during alteplase administration continuing for 24 hours post administration
What is 180/105?
There is no blood test that can diagnose a stroke; however, 2 important blood tests are done to learn the cause of a stroke
What is lipid panel and hemoglobin A1C?
Inability to show teeth on right side when asked to smile, and a noticeable right facial droop
What is cranial nerve 7 (facial)?
An infarct in the "relay station" causes a horrible pain syndrome making rehab incredibly challenging
What is a thalamus infarct?