ED Stroke Information Flashcards
What is the criteria for a Level 1 stroke alert?
LKW < 4.5 hours and/or thrombolytic infusing
What is the criteria for a Level 2 stroke alert?
LKW 4.5-24 hours
What is the criteria for the patient to be taken direct to CT?
Level 1 alert and/or LAMS 4-5
What is the scale used by EMS to determine stroke severity?
Los Angeles Motor Scale (LAMS)
What is the monitoring frequency of a non-hemorrhagic stroke alert?
Q15 minutes X 1 hour, Q2 X 4 hours, Q4 until admission
What is the monitoring frequency for a patient who received a thrombolytic?
Q15 minutes X 2 hours, Q30 minutes X 6 hours, Q1 hour until admission
What is the monitoring frequency for a hemorrhagic stroke alert?
Q15 minutes X 1 hour, Q30 minutes X 2 hours, Q1 hour X 4 hours
What is the blood pressure goal for an intracerebral hemorrhage patient?
SBP 100-160 mmHg
What is the blood pressure goal for an aneurysmal subarachnoid hemorrhage patient?
SBP 100-140 mmHg
What should be completed and documented on a stroke patient prior to any PO intake?
Bedside nursing swallow screen
What lab test is important to obtain in order to rule out a stroke mimic?
POC glucose
What does a NeuroIR alert mean?
The patient has a large vessel occlusion and need to be taken to NIR
Where is NIR located?
2 Silver
What lab is used for strokes?
Lab 3
How quickly should you arrive in NIR?
Leave immediately during the weekdays; wait 10 minutes to leave on nights and weekends
