STROKES
SIGNS & SYMPTOMS
TESTS & TREATMENTS
NIH Stroke Scale
Nursing Care
100
The most common type of stroke.
What is ischemic?
100

Sudden numbness or weakness of face, arm, or leg, especially on one side of body.

What are some of the common symptoms of stroke?

100
A commonly ordered test to determine if a stroke has occurred and what kind of stroke.
What is a CT scan without contrast?
100
Month and patient's age.
What are LOC Questions?
100
This is a top priority in care of the patient with altered LOC who may have suffered a stroke (hint: one of the ABCs).
What is maintaining the airway?
200
Anticoagulants and thrombotics increase the risk of this type of stroke.
What is intracerebral hemorrhagic stroke?
200
Numbness, trouble speaking, loss of balance or coordination.
What are common symptoms of TIA?
200

A commonly ordered test that gives very accurate images that show the presence, location, and size of aneurysms.

What is an MRI?

200
Open and close eyes and grip and release the non-paretic hand.
What are LOC Commands?
200

Head of bed in Semi-Fowler's position (30 degrees) or higher.

What is the preferred position for patients with dysphagia?

300

The type of ischemic stroke caused by a clot or plaque fragment the travels through the bloodstream to the brain.

What is embolic?

300

The acronym that UPMC uses to help identify the signs and symptoms of Stroke.

What is BEFAST?

300
Commonly ordered tests using IV radioactive compounds.
What are CTA and MRA?
300
Ask (or use pantomime to encourage) the patient to show teeth or raise eyebrows and close eyes.
What is Facial Palsy?
300

This is performed prior to any PO medication is given after a stroke alert is called.

What is a dysphagia screen?

400
The most common cause of intracerebral hemorrhagic stroke.
What is hypertension?
400

Sudden nausea and vomiting; brief loss of consciousness or a period of decreased consciousness (fainting, confusion, convulsions or coma).

What are some of the less common symptoms of stroke?

400

This clot-busting drug must be given within 0-4.5 hours or onset of stroke symptoms.

What is Tenecteplase or tPA?

400
In this subscale exam, the nurse asks the patient to read or repeat words from a list of words.
What is Dysarthria?
400

The nurse is responsible for documenting this daily for a patient that is being worked-up as a stroke.

What is Education?

500

The two most common causes of subarachnoid hemorrhage stroke.

What are head trauma and aneurysm?

500

Sudden face and limb pain, hiccups, nausea, general weakness, chest pain, shortness of breath, and palpitations.

What are the stroke symptoms unique to women?

500

This involves using a specifically-designes clot removal device inserted through a catheter to pull or suck out the clot to restore blood flow

What is a thrombectomy?

500

Ask patient to describe what is happening in the picture, name items, and read from a list of sentences.

What is Best Language?

500

This should be given to all patients and their family member/caregiver, who are being discharged with a diagnosis of TIA or Stroke

What is a stroke recovery booklet?