Stroke

Your mom went to pharmacollege

100

This Osmotic Diuretic can only be used with provider order and administered to confirmed stroke patient. 

Mannitol

200

This antihypertensive has a max cumulative dose of what?

Labetalol, 300mg. 

300

This antihypertensive can only be administered in an infusion. 

Nicardipine

400

This serotonin receptor antagonist can be used for our more bilious stroke patients

Ondansetron

500

is the reversal agent for Eliquis

Andexanet Alfa (Andexxa) or Kcentra

Signs and Symptoms

100

Three most predictive findings for stroke

facial droop, arm drift or weakness, abnormal speech

200

Should be recorded every 15 minutes

Neurologic assessment

300

This should be obtained and recorded as it is valuable information in determining thrombolytic eligibility

last known normal

400

This is the leading cause of stroke

High blood pressure. 

Others include high cholesterol, heart disease, diabetes, obesity, sickle cell and having previous TIA's. 

500

This stroke assessment tool is specifically named in PCG M16 and M17

Cincinnati Pre-Hospital Stroke Screening. 

Treatment Goals

100

In suspected and confirmed stroke, this is the blood pressure at which normal saline and vasopressors should be administered. 

SBP less than 90mmHg

200

This defines "profound hypertension" in suspected stroke. 

SBP greater than 220mmHg. 

300

This confirmed hemorrhagic stroke blood pressure goal should not be until when? 

Goal SBP less than or equal to 140mmHg, do not treat until greater than 150mmHg or two consecutive checks 5 minutes apart. 

400

Goal SBP less than 220mmHg

What is confirmed ischemic stroke SBP goal, if patient is not a thrombolytic candidate. 

500

Goal SBP for a confirmed ischemic stroke in a patient with active AAA dissection. 

SBP less than 185mmHg. 

Trauma

100

tPA or TNK would not be given in this type of stroke

Hemorrhagic

200

Describes Cushing's Triad

decreased heart rate, irregular respirations, increasing SBP specifically characterized by widening pulse pressures

300

a common symptom of hemorrhagic strokes that the provider should be prepared to treat

seizures

400

This medication should not be administered after how many hours from initial insult?

TXA. 3 hours. 

500

this type of bleed occurs between dura matter and the arachnoid matter

subdural hematoma

General Protocol

100

is the most common type of stroke

Ischemic 

200

other differentials to consider

hypoglycemia, seizure, sepsis, encephalitis, brain tumor, etc...

300

ischemic stroke patients should be placed in this position for transport. 

Supine

400

This medication is used first to treat hypotension in stroke patients 

Normal Saline

500

This is the reason why 12 lead EKG's are important to obtain on stroke patients

metabolic demand can cause ischemia to the heart.