Anti-Hypertensives
Beta Blockers inhibit beta-adrenergic receptors to decrease heart rate and blood pressure. This is an example.
This medication is given as follows: 10% of the total dose as an IV bolus over 1 minute, followed by the remaining 90% by IV infusion over one hour.
What is Tissue Plasminogen Activator, or tPA?
What is propofol?
(or Diprivan)
The electrolyte that must be monitored every two hours during a hypertonic infusion, or before giving a subsequent hypertonic saline bolus.
What is sodium? (NA2+)
Nurse Max is providing discharge teaching for a patient who experienced an ischemic stroke. The patient's wife asks why one specific medication is on the med list. Max knows that this medication is an anti-platelet medication and may prevent the risk of death from acute ischemic stroke.
What is Aspirin or Plavix?
Nimodipine/Norvasc, Amlodipine, Nicardipine/Cardine
What are examples of Calcium Channel Blockers?
When a patient presents with stroke symptoms, this must be ruled out by Head CT before administering thrombolytic therapy.
What is intracranial hemorrhage?
An opioid that is 50 to 100 times stronger than Morphine.
What is Fentanyl?
This is Mannitol's Therapeutic Category or Drug Classification
What is Osmotic Diuretic?
Mr G., who is recovering from a stroke, asks his nurse why he has to take this medication since he never took it before. The nurse tells him that this medication is for lowering cholesterol and reduction of stroke risk.
What is Atorvastatin/Lipitor or Rosuvastatin/Crestor?
This Calcium Channel Blocker has been shown to have a neuroprotective effect when given after subarachnoid hemorrhage. It is only FDA-approved to be given orally for this indication.
What is Nimodipine?
This is a possible adverse effect of thrombolytic therapy, especially when a patient takes an ACE inhibitor as a routine med.
What is orolingual swelling?
A sedative infusion that could be used in a non-intubated, agitated ICU patient, and requires attending approval for use past 72 hours.
What is Dexmedetomidine (Precedex)
What is sodium chloride (or hypertonic saline)?
A patient was admitted for an intracerebral hemorrhage 20 minutes ago. The patient's nurse is checking a patient's admission labs and notes that the patient's PT is 5. The nurse notifies the provider ASAP and anticipates giving one of these reversal agents.
What are phytonadione (vitamin K) or prothrombin complex concentrate (PCC-KCentra)?
This calcium channel blocker is the preferred infusion for controlling hypertension in the brain injured population.
What is Nicardipine?
Patients must present for treatment within this maximum time frame since their last known well time to be eligible for thrombolytic therapy.
What is 4.5 hours?
What is bradycardia OR hypotension?
The maximum Mannitol dose that should be given to a female patient who weighs 75kg
What is 75 grams?
Risk of this cause of secondary injury after subarachnoid hemorrhage is the reason that patients are monitored in the ICU for up to 10 days or longer.
What is delayed cerebral ischemia, DCI, or vasospasm?
These are examples of Angiotensin Receptor Blockers(ARBs). They bind to angiotensin AT1 and AT2 receptors to block the vasoconstrictor and aldosterone-secreting effects of angiotensin II to lower blood pressure.
What are Losartan/Cozaar or Valsartan/Diovan?
This thrombolytic therapy is given as an IV push over 5-10 minutes. The maximum dose is 25mg. It is considered the preferred medication for thrombolytic therapy in the setting of Acute Ischemic Stroke.
What is Tenecteplase, or TNK?
What is lorazepam or Ativan?
Hyperosmolar therapy creates an osmolar gradient by drawing this from brain tissue into intravascular spaces to reduce cerebral edema and ICP.
What is water?
This medication, taken by women of childbearing age, increases risk of stroke, especially when the woman also smokes.
What are oral contraceptives?