Stroke 101

Types of Stroke

100

Hemorrhagic stroke

The type of stroke that results from bleeding into the brain.

200

Ischemic Stroke

The type of stroke that results from an emboli 

300

Risk factors for Ischemic stroke 

Hypertension, high cholesterol, heart disease, smoking, diabetes, A fib 

400

S/S of hemmorhagic stroke

Marked hypertension and AMS, headache, nausea vomiting

500

Treatment for Ischemic stroke if patient qualifies

tNK

Assessment

100

B.E. F.A.S.T.

Balance, eyes, face, arms, speech, time

200

The beginning step in the code stroke algorithm when a stroke is detected

Rapid Response

300

Core components of a neuro check

GCS

Facial symmetry 

Pupil variance 

Reflexes (upper and lower extremities)

Gait/balance 

SCDs

400

All stroke patients are considered high fall risk. What do the patients need in place? 

Fall bracelet, fall socks, posey tabs alarm, call light within reach

500

True or false: you can change a patients NIH score if they repeat the action

FALSE

Order Set

100

Patient must have these ordered and on their legs

SCDs

200

Major side effect of TNK 

Angioedema

300

Where to chart neuro checks after assessment 

Assessment in meditech (select neuro) 

400

Where to chart NIH

add intervention, select NIH

500

7 education points of discharge

1. S/S, be fast 

2. Follow up appointments

3. DC medications (statins, anticoags, antithrombotic)

4. Risk factors for stroke 

5. print off stoke education for packet that they take home 

6. med rec with old and new medications 

7. Call 911 if s/s experienced!  

Swallow Screen

100

Next step if patient passes

Get diet order from provider

200

Documentation for the nursing swallow screen goes in this spot. 

Add intervention > Dysphagia screening

300

Position to place patient in when assessing swallowing

sitting up straight

400

Patient fails nurse swallow screen. What are next steps?

1. Make NPO 

2. Get Speech therapy consult ordered

500

True or false: Patient starts gurgling the water with their first sip. This patient passed the screening.

FALSE

Core Measures

100

All stroke patients will recieve the following for VTE prophylaxis.

SCDs, heparin or lovenox

200

This medication must be given by the end of hospital day 2 and patient should be discharged with order.

Antithrombotic therapy (ASA, plavix)

300

This care team must be consulted to assess patients need for rehabilitation. 

PT/OT

400

Must be included in patient discharge 

stroke education, complete med list and med rec, FU appointments

500

Cholesterol lowing medication that must be added to patient medication orders upon presentation of a stroke.

Statin