Documentation
Alteplase
Core Measures
Assessment
Blood Pressure
100

It's a scale developed to identify and trend neurologic functioning in stroke patients. 

What is the NIHSS? 

100

One of these studies must be done prior to the completion of the 24-hour window. 

What is a CT or MRI? 

100

The ED documented a failed swallow screen. The next swallow screen is performed by this specialist. 

Who is speech therapy? 

100

This substance is the first thing used to perform a bedside swallow screen. 

What is water? 

100

The systolic blood pressure threshold for initiation of tPA. 

What is a systolic blood pressure of equal to or less than 185? 

200

It needs to be documented once a shift and involves the use of colored folders on the unit. 

What is stroke education? 

200

Assessments are done on these intervals for a patient who received tPA. 

What are Q15min, Q30min, & Q1hr?

200

The medication that helps stabilize plaque and is prescribed to all ischemic stroke patients at discharge. 

What is a statin? 

200

This assessment helps to identify if the patient has an allergic reaction to tPA. 

What is a tongue assessment? 

200

This type of stroke requires a maintenance of systolic blood pressure less than 140 in the acute phase. 

What is a hemorrhagic stroke? 

300

This part of the care plan should be initiated within the first 24 hours after admission. 

What is a CPG? 
300

This point in time starts the clock for monitoring after treatment of ichemic stroke using medication.

What is TPA start time?

300

It should be started on ischemic stroke patients no later than day 2 of hospital stay. 

What is aspirin or Plavix? (Antiplatelet Therapy)

300

This assessment category tells us if the patient has a pulse, sensation, and normal circulation to their leg after sheath removal. 

What is a limb assessment? 

300

This term describes the idea of allowing a systolic blood pressure less than or equal to 220 after ischemic stroke. 

What is permissive hypertension? 

400

You have received a patient from the ED and completed an NIHSS at the bedside, the documentation interval/category reflects this practice. 

What is "handover"? 

400

This assessment must be documented at the exact 24-hour mark after treatment with tPA. 

What is the NIHSS? 

400

The assessment used to rate functioning of the stroke patient at discharge. 

What is a modified rankin score? 

400

This assessment helps to identify a hematoma or abnormality after an IR procedure. 

What is a groin check? 
400

Once an aneurysm has been coiled or clipped the physician may loosen the BP parameters to this range. 

What is a systolic of 160-180 mmHg.