Order Set For Stroke
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FAQ
Successful care of acute stroke patients relies on a four-step process: (i) prompt recognition and reaction to warning signs; (ii) immediate use of emergency services; (iii) priority transport with notification of the receiving hospital and (iv) rapid and accurate diagnosis and intervention at the hospital (14, 15).
The first-line treatment for patients with an ischemic stroke is intravenous thrombolytic therapy which is administered as an intravenous bolus of alteplase given over 1 minute, followed by an infusion over 60 minutes.
Obtain IV access, run labs, check glucose, activate the stroke team, perform neurologic screening with emergent CT scan or MRI of the brain, and obtain a 12-lead ECG.
Some of the tests you may have include: A physical exam. Your doctor will do a number of tests you're familiar with, such as listening to the heart and checking the blood pressure. ... Blood tests. ... Computerized tomography (CT) scan. ... Magnetic resonance imaging (MRI). ... Carotid ultrasound. ... Cerebral angiogram. ... Echocardiogram.
Things you can do to ensure patient safety are: Stay with the patient and stay calm! ... Get the patient back into bed if they weren't in bed when the event occurred. Monitor VS and supply supplemental oxygen if warranted. Maintain optimal blood pressure and cerebral perfusion pressure. ... Maintain airway patency.
