Stroke
What is the B in the BEFAST acronym
What is balance
What screening assessment is used on patients suspected of having an acute stroke?
What is BEFAST?
Pt has a BEFAST+ assessment. They may be eligible to receive IV thrombolytics if the LKN is less than this period of time?
What is 4 hours?
This is the only lab required in all acute strokes prior to treatment.
What is glucose?
Tenecteplase is administered by bolus over this period of time.
What is 5 seconds?
This common stroke mimic should be ruled out prior to calling a Code Stroke.
What is hypogycemia?
Stroke patients may be eligible for acute stroke treatment up to this time period past LKN.
What is 24 hours?
These tools are located at the ATC and Triage desk.
What is the Code Stroke Response Sheet and Code Stroke Activation Algorithm?
BP management may be necessary prior to administering IV thrombolytics if the BP is not < this value.
What is 185/110?
Following IV thrombolytics, BP must be maintained less than this value.
What is 180/105?
The A in the BEFAST acronym
What is arm weakness?
The patient woke up at 7am with new stroke symptoms. You would ask this question to determine his LKN.
What time were they last known to be normal?
The 3 nursing tasks required prior to the non-contrast CT.
What is glucose, weight, and BP?
Mission's goal for Door to Needle time
What is < 20 minutes?
These post-IV thrombolytic assessments are required to assure patient is not deteriorating and/or having an adverse reaction.
What is VS, neuro checks, and oral checks?
Acute stroke treatment has been ruled out for this patient, so the physician orders a po aspirin. What do you need to do prior to giving anything po?
What is a dysphagia screen?
EMS reports the patient developed < LOC and shaking all over while in transit. What may this represent?
What is a stroke mimic or seizure.
This is the main reason for performing a non-contrast head CT.
What is to rule out a bleed?
An acute stroke patient taking Coumadin (warfarin) may be eligible to receive IV thrombolytics under these circumstances.
What is an INR </= 1.7?
The three most common adverse reactions following IV thrombolytic administration.
What is bleeding, neuro deterioration, and orolingual angioedema?
This area may be salvaged although is at risk of death if circulation is not restored.
What is the penumbra?
Sudden development of nausea, vomiting, vision changes, and loss of balance can represent this type of stroke.
What is a posterior stroke?
EMS reports: positive stroke scale, LKN 3 hours, no anticoagulants, RACE 8. Patient may be eligible for what type of treatment(s).
What is IV thrombolytics and thrombectomy?
The first attempt to manage BP prior to IV thrombolytics is typically using this drug.
What is labetalol?
Post-IV thrombolytic assessments are required to assure pt's safety following administration at these time intervals for the first 24 hours.
What is q15 mins x 8 (2 hrs), q30 mins x 12 (6 hrs), then q1hr x 16 hrs?