Stroke
When a patient arrives “not acting right” with facial droop and right-sided arm weakness, this urgent protocol should be initiated immediately.
What is activating a code stroke?
Anxiety, shortness of breath, nausea, vomiting, upset stomach, pain in the shoulder, back or arm, unusual fatigue, weakness, diaphoresis, malaise.
What are atypical STEMI symptoms?
What is sepsis?
Chest pain, jaw, neck, shoulder or back pain, shortness of breath, lightheadedness, nausea and vomiting.
What are typical signs and symptoms of a STEMI?
While caring for an admitted patient, you notice an acute change in neurologic status; this immediate action should be taken to ensure rapid evaluation and treatment.
What is activate a code stroke or rapid response?
These 2 areas get hair clipped for cath lab preparation.
What are the right groin and right wrist?
This abnormal vital sign is often the earliest indicator of sepsis and commonly triggers screening tools.
What is tachycardia?
Febrile, tachycardia and tachypnea.
What is SIRS?
Before administering Antivert to a patient with sudden dizziness, this safety check must be documented.
What is an aspiration screen?
This cardiac-related lab is not a lab reported critical lab value
What is troponin?
This lab must be obtained within 3 hours of sepsis recognition and repeated if the result is >2.
What is lactic acid (gray top tube)?
Sudden onset of left-sided weakness and slurred speech.
What is a stroke?
This comprehensive set of instructions—covering warning signs (like FAST), medications, risk factor control, follow-up care, and when to call 911—must be included on the AVS for a stroke patient at discharge.
What is stroke discharge education?
This should happen in 45 minutes or less.
What is door-in to door-out time for referring hospitals.
This phrase emphasizes that early identification and treatment greatly reduce sepsis mortality.
What is "time is tissue"?
This condition is defined by persistent hypotension requiring vasopressors after fluid resuscitation.
What is septic shock?
When calling a code stroke, the primary nurse should be ready to report this critical information:
What are key stroke activation details (LKW, vital signs with glucose, and anticoagulant use)?
(Slide 2)
These are the three key tasks in the SEP-1 3-hour bundle.
What are blood cultures, lactic acid and IV antibiotics?
Pain or pressure in the groin with a growing area of bruise-like discoloration.
What is a hematoma?