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Documentation
Potpourri
Stroke Sub-types
A & P
Cerebral
100
This assessment tool is used to quantify stroke symptoms and measures neurological function
What is NIHSS
100
We do this to avoid aspiration pneumonia in stroke patients
What is dysphagia screen?
100
A positive result from this diagnostic test may point to an embolic cause of stroke
What is an echocardiogram with bubble study?
100
This is an arrhythmia that may be the underlying cause of an ischemic stroke
What is atrial fibrillation?
100
Acute stroke patient should have rapid evaluation by a non-contrast CT to help identify exclusion criteria for TPA such as this
What is intracerebral hemorrhage?
200
These are the required components of a neuro check
What is GCS, pupil assessment (size, shape, reaction), strength scale all four extremities?
200
This is the upper level at which we treat blood pressure for non-tpa ischemic stroke patients
What is SBP 220 mmHg and DBP 120 mmHg?
200
most common type of stroke
What is ischemic stroke?
200
Right hemiparesis, right hemisensory loss, left gaze preference, right visual field cut, aphasia
What is dominant left area of brain involved?
200
why we allow permissive hyptertension immediately following an ischemic stroke
What is maintain cerebral perfusion?
300
A patient is admitted to ICU post-TPA administration, neurological checks, vital signs, angioedema, and bleeding risk should be documented how often?
What is every 15 minutes for 2 hours, every 30 minutes for 6 hours, and every hour for 18 hours
300
These are the required elements of written stroke education
What is signs and symptoms for stroke, activation of EMS, individualized risk factors, medication, follow up after discharge?
300
Rapid swelling of mucosa and submucosal tissue
What is angioedema?
300
Bleeding occurs directly into the brain parenchyma
What is a hemorrhagic stroke?
300
A patient with a large left middle cerebral artery (MCA) stroke, with symptom onset 4 day ago, starts exhibiting decrease level of consciousness with difficulty arousing patient. A STAT CT brain will demonstrate this complication
What is cerebral edema?
400
Decrease level of consciousness, pupil changes, decrease motor strength or posturing are signs of this
What is a sign and symptom of increase ICP?
400
Treatment for aneurysmal SAH can be achieved with these two surgical procedures
What are aneurysm clipping and coiling?
400
Early treatment with this medication can minimize brain damage
What is TPA?
400
Every time handoff is done
What is neurological assessment?
400
Bleeding from this spreads over the surface of the brain resulting in a subarachnoid hemorrhage
What is ruptured cerebral aneurysm?
500
On admit, 24 hours, and on discharge
How often the NIHSS should be done?
500
An interruption of blood flow to the brain by a clot or ruptured vessel
What is a stroke?
500
ICH can cause cerebral edema leading to mass effect and midline shift. These are three signs of increase intracranial pressure
What are vomiting, widening pulse pressure, rising blood pressure, headache, bradycardia, anxiety/confusion, blurred vision, cheyne stokes respiration, sluggish pupils?
500
Goal is to limit irreversble ischemic damage during an acute ischemic stroke caused by an arterial occlusion
What does TPA do?
500
This is the outer covering of the cerebrum. It is often referred to as the gray matter.
What is cerebral cortex?