Risk Factors
This medical condition significantly increases the risk of stroke
Hypertension
Sudden weakness or numbness on one side of the body is a classic sign of this.
Hemiparesis or hemiplegia
This imaging technique is commonly used to diagnose strokes quickly.
CT Scan (Computed Tomography)
This medication is often administered to dissolve blood clots during an ischemic stroke.
Thrombolytic such as: TPA (tissue plasminogen activator) or TNK (tenektaplase)
Implementing this measure promptly can help prevent aspiration in stroke patients with swallowing difficulties.
Dysphagia screening - "TORBSST" within 12 hours of admission
Smoking, obesity, and excessive alcohol consumption are examples of these modifiable risk factors for stroke
Difficulty speaking or understanding speech is known as this.
Aphasia
A score of 0 on the NIH Stroke Scale indicates this level of severity.
No stroke symptoms. Normal.
Patients who've had an ischemic stroke may be prescribed this type of medication to prevent future clots.
Antiplatelet drugs (such as ASA and Clopidogrel)
This position is commonly used to promote blood flow to the brain in stroke patients.
Semi-fowler's or HOB elevated
True or False
Recognition of new onset stroke symptoms in hospital results in a more favorable and time-sensitive outcome for stroke patient care.
False
The out-of-hospital group reported a more favorable response to time-sensitive stroke process metrics than the in-hospital group
In-hospital stroke management is delayed at all levels of recognition, alerts, assessments, CT imaging, and laboratory assessments. The IHS group reported a higher number of comorbidities and complexities, higher cardiovascular risk burden, lower eligibility, and higher number of contraindications to intravenous thrombolysis therapy, and higher mortality rate.
A sudden severe headache, often described as "the worst headache of my life," can be a sign of this type of stroke
Hemorrhagic Stroke (specifically subarachnoid hemorrhage)
The presence of this type of arrhythmia significantly increases the risk of stroke and is often managed with anticoagulation therapy.
Atrial Fibrillation
How frequent do IH guidelines suggest to perform suction-based Oral Care on a dependent patient
Q2-4h for a minimum of 60-90 seconds
Encouraging this activity early on in stroke recovery can help prevent complications such as pneumonia and deep vein thrombosis.
Early Mobilization
This type of stroke is often associated with atrial fibrillation and is caused by a clot traveling to the brain.
Ischemic Stroke
Loss of balance, coordination, and dizziness are symptoms often associated with this type of stroke.
Cerebellar Stroke
Name 3 diagnostic tests an MRP may choose to order to find the underlying cause of stroke
CT Head non contrast
CXR PA & Lateral
Carotid ultrasound
Echocardiogram
Holter Monitor
Cardiac Monitoring
This procedure involves removing a clot from a blocked blood vessel in the brain and is often performed within a few hours of symptom onset
EVT (endovascular thrombectomy)
Providing education and support for smoking cessation, dietary modifications, and medication adherence fall under this category of nursing care.
Health promotion and patient/family education
Name one non-modifiable risk factor for stroke.
Genetics
Family History
Age
Ethnicity
This acronym helps to remember the signs and symptoms of stroke
FAST VAN
Face, Arms, Speech, Time
Vision, Aphasia, Neglect
Describe 3 things assessed on the Kelowna Modified Stroke Assessment Scale (K-Mod)
Level of Consciousness
Orientation
Response to Commands
Language
Facial Droop
Arm Strength (bilateral)
Leg Strength (bilateral)
Following a hemorrhagic stroke, this intervention aims to control bleeding and prevent rebleeding.
Blood pressure management
(Or surgical clipping for an aneurysm)
This type of rehabilitation therapy focuses on relearning skills such as walking, dressing, and eating.
Physiotherapy and/or occupational therapy