Acute Stroke: Initial Onset and the First 24 Hours
Hours: 1.00
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 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.
American Nurses Credentialing Center
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.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Accreditation Council for Continuing Medical Education
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.
Relias LLC designates this enduring activity for a maximum of 1.00 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Medicine
Florida Board of Medicine (CEBroker Provider #50-290)
Physicians will receive 1.00 AMA PRA category 1 Credits™.
Florida Physician Assistants
Florida Physician Assistants (CEBroker Provider #50-290)
Describe the physiologic and symptomatic differences in ischemic and hemorrhagic stroke.
Discuss assessment tools, management strategies, and complications related to acute stroke.
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 and medical intensive care units. She has served in various roles, such as lung transplant coordinator, educator, preceptor, charge nurse, and code nurse. Additionally, Zeliha has worked on several quality initiatives for the ICU, such as infection control, cardiac education, and nursing onboarding. She earned a bachelor of science in nursing from Saint John University in Rochester, NY. She has a master of science in nursing and a master’s in clinical nurse leadership (CNL) from Queens University in Charlotte, NC. She is also a certified critical care nurse (CCRN).
Disclosure: Zeliha Ozen, MSN, RN, CCRN, CNL has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The target audience for this course is: Nurses; Physician Assistants; Physicians; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
