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Diagnosis of Stroke
Vital Signs
Types of Interventions
The Joint Commission
The mNIHSS
100
Hemiparesis
What is loss of movement of one side of the body
100
For a patient with Intracerebral Hemorrhage for the first 24 hours the vital signs are:
What is Hourly vital signs, GCS, Pupils, and mNIHSS
100
VS and mNHSS every 15 minutes x 2 hours, then every 30 minutes x 6 hours, and every hour x 16 hours= 24 hours. No GCS. Pupils every 4 hours.
What is the frequency of vital signs, GCS, pupils, and mNIHSS prior to t-PA for the 1st 24 hours
100
It is a Corrective and Preventive Action Plans
What is a CAPA
100
Ask the patient the month and his or her age
What is the first item on the mNIHSS
200
What is Ischemic
87% of Strokes are this kind___________
200
After 24 hours the ICH patient needs vital signs
What is Hourly vital signs, GCS, mNIHSS, and pupils every 4hours
200
What is 4 hours.
What is the time frame for administering t-PA
200
The citation we received was because the frequency of our assessments were determined to be an area of concern. The frequency of the modified NIH Stroke Scale should be hourly for the 1st 24 hours for patients with Ischemic Stroke.
What was the citation we received from TJC from our August 2015 survey.
200
There are less items to assess on the mNIHSS. The literature is documenting that the mNIHSS is a better tool, and has been found to have better validity and reliability than the NIHSS>
What is the difference between the modified NIH Stroke Scale and the NIHSS Scale
300
Who are women; pregnancy is a factor because of pre-eclampsia, and eclampsia, also birth control pills, as well as hormone replacement therapy, and mood. Depression is 70% more common in women, and research has shown it as a possible factor.
Which gender is more likely to have a Stroke?
300
For Ischemic Stroke the unit monitoring standards are:
What is vital signs every hour, no GCS assessment, Pupils every 4 hours, and mHIHSS every hour.
300
Total dosage is 90mg or 0.9 mg/kg
What is the total dose of t-PA?
300
The frequency is hourly for the 1st 24 hours, and hourly thereafter.
What is frequency of vital signs and modified NIH Stroke Scale for a patient with an Intracerebral Hemorrhage.
300
zero (0) Low scores are best
What is a good score to achieve on the mNIHSS?
400
F= Facial Drooping A=Arms, does one arm drift down when asked to lift arms? S=Speech; does the speech slurr? T= Time; call 911 immediately
How can you diagnose Stroke with the acronym F A S T
400
After 24 hours vital signs should be performed on the Ischemic Stroke Patient
What is every hour for vital signs, no GCS, pupils every 4 hours, and mNIHSS every 4 hours.
400
What is 6%
What is percentage of bleeds after t-PA?
400
What is 25 minutes
What is time frame for a CT to be performed upon the patient arriving to the ED?
400
Call the MD
What is the / When the mNIHSS increases by 2 point you should do what?
500
A CT Scan to rule out bleed; then t-PA can be administered if other criteria are met.
What is gold standard for distinguishing between Ischemic and Intracerebral Hemmorhage
500
What is after a dysphagia screening
When can a stroke patient have anything at all by mouth?
500
The pictures with the mom and the child; the picture with words to be read;
What is "Best Language" tested by using?