Show:
Ischemic Stroke
Hemorrhagic stroke
Stroke Process
MISC stroke
Hodgepodge
100

What is the post thrombolytic timeframe frequency for vitals and neuro checks?

Q 15 mins x 2 hrs, Q 30 mins x 6 hrs,  Q 1 hr x 16

100

What is the BP parameters for an ICH?

What is the BP parameters for an SAH?

120-160 systolic= ICH

100-160 systolic= SAH

100

What types of CT's will a patient receive if their LKW is < 6 hrs   vs  >6 hrs  and < 24hrs

Under 6 hrs= Dry CT and a CTA

Over 6 hrs Dry CT, CTA, CT perfusion

100

How would you define a stroke?

Please be specific for Ischemic or hemorrhagic


100

Who can call at BAT for a stroke Alert?

Anyone can call a BAT

200

What tasks do nursing need to do just before administrating of thrombolytics to make sure everyone is on the same page?

What is a time out- Use dot phrase

200

What are some advanced interventions UMMC can preform on a hemorrhagic stroke patient?

EVD, ICP monitoring, hemicraniectomy, clot evacuation

200

A patient is a TNK candidate, what should be done when returning to the room. 

Weights- Documented weight in EPIC-  Process may be changing-  Future-weight in CT

200

What does BEFAST stand for

B-Balance

E- Eyes

F=Face

A- Arm

S- Speech

T= Time to call 911

200

What are some signs your patient is having a posterior circulation stroke?

Balance issues, blurred/double vision/ nystagmus, 
300
What are two post thrombolytic complications the RN needs to assess for all patients

Hemorrhagic transformation/ Angioedema

300

What drug would you except to be used to maintain a BP in range

Clevedipine- 1st choice

Cardene- 2nd choice

300

What size IV and location is needed for BAT CT

20g above the wrist

300

Patient received TNK and at first check the patient is now altered and obtunded.  What is your first action

Get the MD at bedside, ABC, prepare for CT
300

Who mixes Tenecteplase?

Any trained RN/ Pharmacy.   RNs can do it
400

What is the timeframe for TNK?

What is the timeframe for Endovascular mechanical thrombectomy?

4.5 hrs

24 hrs

400
A patient just got back from CT which showed an ICH, the patient was on Xarelto.  What are reversal medications that should be given ASAP

PCC, Kcentra

400

What piece of equipment should be in the hallway for all BATS in case it is needed  for IV access

US machine

400

What makes UMMC a comprehensive Stroke center?

24/7 NSG, NIR, Vascular, able to preform advanced interventions 

400

How many stroke credits do you need a year?  How does UMMC allow you to obtain those credits?

UMMC ED =5 

Offer a range of in person and virtual options

500

Name 3 absolute contraindications for TNK (thrombolytics)

ICH, recent DOAC usage, Platelets < 100K, INR > 1.7  BP over 185/110

500

What assessment findings could be a clue someone is having a hemmorgahic stroke

Blown pupil, N/V, HTN, Cushing's triad

500

When should CT be called for BAT patients? Who calls?

If by EMS as soon as the "box" goes off and upon arrival.


Charge nurse of desingee

500

Where would you find Stroke CPGs?

BAT BOX/ Intranet page

500
What is the starting dose and how frequently can you titrate Clevidipine for ICH/SAH/ Or IS prior to TNK?
Starting dose 2mg/Hr.

Titrate no more than 2 mg every 2 mins with goal of 140-180