TIA/Stroke Risks
The #1 risk factor for TIA/stroke
What is hypertension
Who is any RN
What is the frequency of completion of comprehensive neuro exams
What is Q2H for the first 24H from the LKW, then routine
What does your BG need to be over for TNK administration
What is >50
Why is documentation needed for a stroke patient
What is monitoring for any change or improvement in the patient.
Which risk factor requires anticoagulation with either a DOAC or coumadin
What is atrial fibrillation
What is a blood test needed during a stroke alert
What is blood glucose
What is included in completion of a comprehensive neuro
What is a basic and comprehensive neuro assessment
What is the window for TNK to be administered
What is 0-4.5 hours
Where is documentation for a stroke alert located
What is the inpatient stroke alert on the stroke navigator tab
Which risk factors require modification with diet or medication
What are diabetes, high cholesterol, a. fib, high blood pressure, carotid disease, obesity
When should a stroke alert be called
What is any change in patient mental status, stroke like symptoms.
When should Q2H comprehensive neuros be stopped
When testing and/or physician says no stroke/TIA
What anticoagulants are a contraindication to TNK
What are Eliquis, Xarelto and possibly Coumadin
What documentation is needed on a stroke patient
What is NIH, VS, neuro assessments based on patients LKW
What are age, gender, race, history
What documentation is needed during a stroke alert
What are NIHSS, neuro assessment, BG, vitals
"Prior Assessment Unchanged" can only be used when
When is only if own documentation is unchanged
What should the BP goals pre & post TNK be?
What is 185/110 (pre) and 180/105 (post)
Where is documentation completed in EPIC
What is the stroke navigator
Which is a newer risk factor for TIA or stroke and more prevalent after stroke
What is sleep apnea
Who is responsible for calling telestroke during a stroke alert
Who is the hospitalist responding to the stroke alert
What does the comprehensive neuro assessment not test for
What cranial nerve 1 - olfactory.
What is a risk of TNK administration
What is hemorrhagic conversion post TNK
When is a dysphagia screen documented
At least 1 minutes prior to medications being administered.