In patients with symptoms of stroke, early recognition and intervention have been identified as critical factors in stroke outcomes. This includes an initial assessment, a thorough neurological exam, and stabilization of hemodynamic changes. In addition, distinguishing ischemic from hemorrhagic strokes requires time-sensitive assessment parameters, interventions, and diagnostic procedures. Timely diagnoses allow the healthcare team to administer the appropriate treatment options accurately and effectively.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Medicine (CEBroker Provider #50-290)
Florida Board of Nursing (CEBroker Provider #50-290)
Florida Physician Assistants (CEBroker Provider #50-290)
Georgia Board of Nursing (CEBroker Provider #50-290)
Mississippi Board of Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Stroke
Glen
Background
Stroke Risk
What is a Stroke?
Ischemic Stroke
Transient Ischemic Attack (TIA)
Hemorrhagic Stroke
Arteriovenous malformation (AVM)
Stroke Signs and Symptoms
Section 3: Stroke Care and Screening Tools
The Cincinnati Pre-Hospital Stroke Scale (CPSS)
Los Angeles Pre-Hospital Stroke Scale (LAPSS)
ROSIER: Recognition of Stroke in the Emergency Room
Section 4: The First 20 Minutes
Cassandra
Time is Crucial
General Supportive and Emergency Treatment
Glasgow Coma Scale (GCS)
Symptom Onset and Neurological Assessment
The National Institute of Health Stroke Scale (NIHSS)
Brain Imaging
Laboratory and Diagnostic Studies
Review
Section 5: Acute Ischemic Stroke Treatment and Management
Michael
Treatment for Decisions for AIS
Fibrinolytic Therapy
Endovascular Therapy (EVT)
Mechanical Thrombectomy (MT)
General AIS Stroke Management Up to 24 hours
Review
Section 6: Hemorrhagic Stroke and Management
Primary Goals for Management Decisions
Treatment for Hemorrhagic Stroke
Decompressive Procedures
Complications Following Acute ICH
Section 7: Conclusion
Course Summary
Course Contributor
References
Zeliha has extensive experience in critical care nursing in acute care hospitals, including cardiac intensive care (CICU) and medical intensive care units (MICU). She has served in various roles, including educator, preceptor, charge nurse, and advanced critical care life support (ACLS) instructor. She has extensive experience as a code nurse for a 900-bed hospital. Zeliha has been a lung transplant coordinator for around five years and was responsible for pre-transplant care, waitlist management, and post-lung transplant care. Zeliha has worked on cutting-edge transplant organ procurement initiatives such as Ex-Vivo Lung Perfusion (EVLP) and has managed patients in a hospital that performs around 100 transplants annually. Additionally, Zeliha has served as quality chair council for the heart and vascular services and has worked on several quality initiatives for the service line, such as infection control, cardiac education, nursing resiliency, and nursing onboarding. She has served on various leadership councils in the CICU. She earned a Bachelor of Science in Nursing from Saint John University in Rochester, New York. She has a Master of Science in Nursing and a Master’s in Clinical Nurse Leadership (CNL) from Queens University in Charlotte, North Carolina. She is also certified as a Critical Care Nurse (CCRN).
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