WHAT HAPPENED
This type of stroke is caused by a sudden occlusion of blood flow to the brain.
What is an ischemic stroke?
This is the most common imaging test ordered to rule out stroke.
What is an MRI or CT scan?
This tool allows the nurse to quickly identify the signs and symptoms of stroke
What is BE FAST scale?
This is the most common type of stroke.
What is ischemic?
Patients who have had a stroke are at an increased risk for falls. Fall precautions include these measures.
What are non-slip socks, intentional toileting, fall risk bracelet, bed alarm, sitter, call bell within reach, frequent rounding?
This type of stroke is the result of blood leaking into the brain tissue causing edema and compression of blood vessels.
What is a hemorrhagic stoke?
The nurse should expect to see this POC labs ordered for a patient showing symptoms of a stroke.
What is a finger stick blood glucose?
Time is brain. This is the recommended time from arrival to intervention with thrombolytic medication
What is the Door to Needle Time in less than 60 minutes (Less than 45 minutes when possible.) ?
These two medications are ordered on discharge for stroke prevention
What are aspirin (or Plavix), and a statin?
These are some ways to assist your stroke patient with maintaining independence.
What is providing assistive devices for eating and mobility, offering choices, allow time for the patient to complete tasks?
Often called a "mini-stroke", this temporary blockage can be a pre-cursor to a larger full-blown stroke.
What is a TIA?
This screening tool is completed to identify patients who are at risk for aspiration.
What is the Yale Swallow screen?
This code should be called as soon as neurological changes are suspected.
What is a rapid response or code stroke; follow facility policy
Consulting these therapeutic teams will help a newly diagnosed stroke patient transition to home or skilled care.
What is PT/OT/ST, case management, nutrition/dietary support?
Nurses should complete this screening assessment before oral medication or oral intake
What is the Yale Swallow Screen?
If affected, damage to this area of the brain causes memory loss, speech and language difficulties.
What is the left brain?
This medication can be given within 4.5 hours of symptom onset, if qualifying criteria is met.
What is alteplase (TPA) or tenecteplase (TNK)?
This tool uses 11 items to measure neurological impairment.
What is the NIHSS - National Institute of Health Stroke Scale?
Patients may experience cognitive difficulties, aphasia, or dysarthria after having a stroke. They may benefit from consultation to this specialty.
What is Speech and Language Pathology?
Your patient is being discharged home with family after an ischemic stroke. You include this education in your discussion.
What are the my risk factors for stroke, signs and symptoms of stroke, medications, how to activate EMS, follow-up care,
Damage to this area of the brain can cause dizziness, severe imbalance without classic stroke symptoms, and a decrease in consciousness.
What is a posterior circulation stroke?
If a CT is negative, this additional diagnostic procedure could be ordered to rule out a Large Vessel Occlusion (LVO)
What is CT Angiography (CTA) of the head and neck?
This objective scale is used for unresponsive patients and often with patients that are experiencing a hemorrhagic stroke. The highest score is 15, the lowest score is 3
What is the Glasgow Coma Scale?
Strokes can be caused by both modifiable and non-modifiable risk factors. Some modifiable risk factors include these.
What is HTN, heart disease, inactivity, obesity, Type II diabetes; ETOH, tobacco, and drug abuse; hormonal or contraceptive use; high cholesterol
When receiving report, you would expect to receive this information about your stroke patient.
What is presence of risk factors; medical history and baseline; onset of symptoms - sudden/recurring and time of onset; clinical presentation; NIHSS Score; LOC; VS?