Brainstorming
This is the most common type of stroke
What is an ischemic stroke?
These lifestyle-related conditions are modifiable risk factors for stroke.
What are hypertension, smoking, diabetes, and high cholesterol?
The “B” in BE FAST stands for.
What is balance loss?
This is the time the patient was last seen at their normal baseline, which determines eligibility for all downstream stroke treatments.
What is the Last Known Well Time?
This is the first imaging ordered in a Stroke Alert.
What is a CT Head without contrast?
Medical emergency where the brain is deprived of oxygen and nutrients
What is a stroke?
The % of strokes that are preventable.
What are 80% of strokes?
If a patient is BE FAST positive and has a unknown well or LKWT of <24 hours, do this.
What is activate a stroke alert?
When the patient loses vision in both eyes, same side.
What is homonymous hemianopia?
On a CT scan, this color typically represents new blood or bone.
What is white?
This type of stroke is caused by ruptured blood vessel and makes 13% of strokes.
What is a hemorrhagic stroke?
What are risk factors for stroke that we can't change?
Gender
Genetics
Race
Age
The GCS evaluates these three categories.
What are eye opening, verbal response, and motor response?
These assessments are KEY when monitoring stroke patients and detecting changes in condition.
What is a N_E_U_R_O exam?
The max dose of TNK for stroke patients.
Maximum dose = 25 mg
When the skull cannot expand during a hemorrhagic stroke, rising intracranial pressure can lead to this dangerous shift of brain tissue.
What is herniation?
What type of stroke requires tight blood pressure control unless otherwise specified by provider orders?
What is a hemorrhagic stroke?
Intracerebral hemorrhage (ICH)
Subarachnoid hemorrhage (SAH)
This is the 5th vital sign
What is Glasgow Coma Scale (GCS)
In caring for a patient with an intracerebral hemorrhage, these four nursing interventions help manage symptoms and prevent complications.
What are:
Watch for signs of high intracranial pressure
Minimize stimulation
Maintain HOB at 30 degrees
Perform frequent and consistent neuro exams?
This is the maximum time from last known well in which IV tPA can be administered.
4.5 hours
Hemorrhagic strokes account for only 13% of strokes but this percentage of stroke-related deaths.
What is 40%?
This type of stroke often presents with a sudden “thunderclap” headache, neck stiffness (nuchal rigidity), and possible loss of consciousness.
What is a subarachnoid hemorrhage?
This scale is used to assess stroke severity and guides treatment decisions.
What is the NIH Stroke Scale (NIHSS)?
If there are no specific orders, how often should you assess an acute stroke patient’s neurological status and vital signs?
What is every 15 minutes?
On a CT Perfusion, what do we call it when blood flow and blood volume do not match—indicating salvageable brain tissue and making the patient a candidate for thrombectomy?
What is a mismatched?