BEFAST
Balance
What does the letter B stand for?
.9 mg/kg
What is the total dose of Alteplase/tPA?
What are two types of stroke?
Ischemic and Hemorrhagic
Weight, VS, FSG, IV Access
What is needed prior to administering tPA?
Time of Onset/LKN
What are important questions for stroke patient?
Eyes
What does the letter E stand for?
10% of total dose
What is the bolus dose of Alteplase?
TIA
What is a transient ischemic attack?
LAMS
What is Los Angeles Motor Scale?
Allergies
What is tPA exclusion criteria?
Facial asymmetry
What does the letter F stand for?
One minute
How fast is bolus dose administered?
1.9 million neurons
What is the average number of neurons lost per minute during untreated LVO ischemic stroke?
LAMS >/= 4
What LAMS Score indicates LVO (large vessel Occlusion)?
Recent surgery/Head trauma/GI bleed
What are exclusion criteria for tPA?
Arm Drift
What does the letter A stand for?
One hour
What is the amount of time the remainder of tPA infused?
2222/Clinical Communication on the intranet
How do you activate a Stroke Code?
24 hours
What is the time frame to activate stroke code for LAMS >/= 4?
Anticoagulation use
What is exclusion criteria for tPA?
Slurred Speech
What does the letter S stand for?
Headache, vomiting, decreased LOC
When would the RN stop the tPA infusion?
Dysphagia Screening
What screening is done to identify aspiration risk?
6 Hours
What is the time frame to activate stroke code for positive BEFAST screen?
HTN, DM, Smoking, Cocaine use
What are risk factors for a stroke?