Neuro Soup
Initial Neuro assessment performed on patient's presenting with stroke symptoms which gives some insight to the severity of the infarct
What is the NIH Stroke Scale?
B= Balance
E= Eyes/ vision
F= Facial drooping
A= Arm weakness
S= Speech difficulty
T= time ( to call 911!)
What is the tool used to identify stroke symptoms?
The most impactful modifiable risk factor to reduce the risk of stroke.
What is hypertension?
This is the target time for the provider to assess the patient immediately following presentation of stroke like symptoms.
What is 10 minutes?
The interruption of blood flow to brain by clot or ruptured blood vessel.
What is a stroke?
Speech disorder in which a person has difficulty saying what he or she wants to say correctly and consistently.
What is expressive aphasia?
Symptoms are "stroke-like" but resolve within 24 hours.
What is a Transient Ischemic Attack (TIA)?
This non-modifiable condition significantly increases ones risk of Stroke.
What is increasing age?
This is the target time to obtain non- contrast CT brain on suspected stroke patient.
What is within 15 minutes of arrival or presentation?
Patients with atrial fibrillation should be considered for this type of medication therapy.
What are anticoagulants?
Common cause of Hemorrhagic Stroke.
What is an Aneurysm?
The results of this assessment depict best eye opening, best verbal response, and best motor response.
What is the Glasgow Coma Scale (GCS)?
Anticoagulants and thrombolytics increase the risk of this type of Stroke.
What is Hemorrhagic Stroke?
This is the target time for the stat CT brain to be read by the radiologist.
What is 30 minutes from arrival time?
This assessment must be completed prior to giving any PO medications.
What is Nurse Bedside Swallow Screen?
Lack of involuntary coordination of muscle movements that can affect walking, hand coordination, speech and swallowing.
What is Ataxia?
This clot busting medication must be administered within 3-4.5 hours of last known well time (onset of symptoms) for acute ischemic stroke.
What are Thrombolytics ( enecteplase)?
Drooling, wet cough, and difficulty swallowing are all signs that the patient may be experiencing this condition.
What is dysphagia?
This is the target time for administration of thrombolytics to the patient with suspected stroke. (Also referred to as the door-to-needle time)
What is 45 minutes?
This is the most common type of Stroke, and makes up for 87% of all Strokes.
What is Acute Ischemic Stroke?
Supplemental oxygen should be provided to maintain SpO2 greater than ___ %.
What is 94 % ?
This nursing intervention is performed on patients showing altered mental status or decreased LOC that could mimic stroke.
What is a blood glucose check?
The patient has a significantly decreased LOC and left sided flaccidity. You suspect the patient is having a stroke but cannot speak. This is your primary nursing intervention.
What is airway protection?
This is the frequency of neuro checks and vital signs immediately following Tenecteplase administration.
What is Q 15 min X 2 hours?
This needs to be ordered when a patient fails a swallow screen.
What is a Speech Therapy consult?