Stroke
Door to Lab Results
What is < 45 minutes
Sudden and severe headache. Classically, someone will say, " "
What is "worst headache of my life"
Test detects and records your heart's electrical activity
What is EKG
16G, 18G, and 20G
What is Large Bore IV
IPC, Heparin, and Lovenox
What is VTE prophylaxis
Advice or counseling given during hospital stay to patients with history of smoking
What is smoking cessation
Leading cause of functional impairment/disability in the U.S.
What is Stroke
High levels of this type of cholesterol raises your risk for heart disease and stroke.
STAT, Q15 minutes x 4 hours, Q30 minutes x 2 hours, and @ 1 hour x 2 hours
What is RR Neurological Checks (non-tPA, TIA, AMS)
An evidence-based bedside testing tool used before being given any food, fluids, or medication by mouth.
What is Dysphagia screening
What is paged if a patient was last seen normal (or at baseline level of functioning) less than 24 hours before ED arrival
What is Stroke Alert (with location)
Blurred vision, double vision, and loss of visual field
What is Visual Disturbances
A dye is injected into the veins to show a detailed picture of the blood vessels and blood flow through the brain
What is CT or MR angiogram
PRN per Nursing, titrate to keep SPo2 > 90%
What is Oxygen
Powerful blood thinning drug used to break up a blood clot and restore blood flow to the brain in patients with Ischemic stroke
What is TPA
Overweight, Sedentary life, Diabetes, Smoking, High blood pressure, High cholesterol, Family history, and Cardiovascular diseases
What is Risk Factors
Abnormal state of alertness or awareness; Changes in behavior.
What is Altered Mental Status
Protein found in the muscles of your heart
What is Troponin
A device continuously shows the cardiac rhythm and sends the electrocardiogram tracing to a main monitor for continual observation
What is Cardiac Monitor
HOB elevated 30 degrees or greater
What is aspiration precautions
Initiation of thrombolytic therapy administration (door-to-needle time) of 60 minutes or less, IV rt-PA arrive by 3.5 hour, treat by 4.5 hour, Dysphagia screening, NIHSS, Stroke education, Rehabilitation, LDL documentation, and Intensive Statin Therapy.
What is STROKE QUALITY MEASURES
A sensation of spinning around and losing one's balance
What is Dizziness
Uses a strong magnet and radio waves to make pictures of the brain
What is MRI
Responsible for "Stroke Alert Room #" overhead page and initiates the stroke order set
What is RRT
Speech, OT/PT, Dietary, Neuro
What is Consults