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Ischemic Stroke PowerPoint Presentation

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Description : Check out this medical titled "Stroke: Ischemic".

This medical talks about Ischemic stroke, a type of stroke that occurs when a blood vessel in the brain is blocked by a blood clot or a fatty deposit, leading to a lack of blood flow and oxygen to the brain tissue supplied by that vessel. This can cause brain cells to die and lead to a range of neurological symptoms, including weakness, numbness, or paralysis on one side of the body, difficulty speaking or understanding speech, vision problems, dizziness, and severe headache.

Ischemic stroke is the most common type of stroke, accounting for around 87% of all strokes. Risk factors for ischemic stroke include high blood pressure, smoking, diabetes, high cholesterol, and a family history of stroke or heart disease. Treatment for ischemic stroke typically involves emergency management to dissolve or remove the blood clot causing the blockage, as well as medications to prevent future strokes and lifestyle changes to address underlying risk factors. Rehabilitation may also be necessary to help patients recover and regain function after a stroke.

Tags : Ischemic stroke, Emergency Medicine, Emergency Medicine

Published on : Apr 14, 2023 | Views : 1024 | Downloads : 9

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Slide 1-

SCENS
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Stroke: Ischemic SCENS
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Learning Objectives Complete a focused assessment on the patient presenting with signs and symptoms of a stroke Initiate facility specific protocol for the patient presenting with an ischemic stroke Communicate effectively when managing the care of the patient experiencing a stroke SCENS
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Why? VHA Quality Enhancement Research Initiative (QUERI) Statistics The Joint Commission: 2016 National Patient Safety Goals VHA Directive 2011.038: Treatment of Acute Ischemic Stroke (AIS) Statistics Standardization of VHA stroke treatment and care American Heart Association (AHA) -American Stroke Association (ASA) National Institute of Neurologic Disorders and Stroke (NINDS) SCENS
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Major Types of Strokes Ischemic 87% Hemorrhagic 13% SCENS
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Risk Factors SCENS
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8 Ds of stroke care Detection Dispatch Delivery Door Data Decision Drug/Device Disposition 7 SCENS
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Important Time Goals Notify the emergency response immediately FAST assessment/**Cincinnati Pre-Hospital Stroke Scale (ACLS Suspected Stroke Algorithm) Establish last known well (LKW) Immediate general assessment and stabilization within 10 minutes Neurologic assessment within 25 minutes Interpret CT Scan or MRI within 45 minutes Determine treatment pathway within 60 minutes Hemorrhagic or Ischemic Stroke? SCENS
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SCENS FAST Assessment
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SCENS Cincinnati Pre-Hospital Stroke Scale
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Within 10 Minutes Immediate General Assessment ABCs Oxygen Vital signs Intravenous access and blood samples Blood glucose Neurologic assessment Activate the stroke team Order CT Scan/MRI per policy Obtain 12 Lead ECG Other Head of bed at 30o Head midline Suction NPO SCENS
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Within 25 Minutes Neurologic assessment National Institutes of Health (NIH) Stroke Scale or Canadian Stroke Scale depending on policy By a stroke team member Help determine the appropriate treatment Also used to monitor worsening or improvement and as predictors of outcome SCENS
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Within 45 Minutes Stroke is confirmed but hemorrhage confirmed The patient is not a candidate for fibrinolytics Administer aspirin orally if the patient is able to swallow SCENS
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Within 60 minutes Ischemic Stroke pathway Consider transfer to another facility for appropriate care if not a stroke center Consult a neurologist Admit the patient to the stroke unit or intensive care Prepare for thrombolytics SCENS
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Post rtPA Therapy Begin post-rtPA stroke pathway Within 3 hours Monitor the patient aggressively per protocol Blood pressure Blood glucose Neurological deterioration Emergent admission to a monitored bed SCENS
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Points to Consider Other options Anticipate transfer Current medications The patient’s weight in kilograms Communication ISBAR Who to notify What number to dial Keep the patient and family informed Pertinent documentation SCENS
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Potential Issues Surgery Transport to a stroke center Multidisciplinary resources Complications Psychosocial Co-existing conditions SCENS What if…?
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Summary Reviewed a focused assessment for the patient presenting with signs and symptoms of a stroke per facility protocol Discussed facility specific protocol to manage the care of the patient presenting with signs and symptoms of a stroke Discussed effective communication when managing the care of the patient experiencing a stroke SCENS
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Stroke: Ischemic Past Medical History: Twelve (12) year one pack per day history of smoking, hypertension, and non-compliance. Past Surgical History: Unremarkable Medications: Metoprolol 50 mg two times a day (last dose three months ago because it makes the patient feel “tired”) Aspirin 81 mg one time a day Allergies: NKDA Gina Ubaldini Sixty five (65) year-old female presented requesting a refill on her “blood pressure medication.” SCENS