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Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation. Nurse to patient ratios were changed to 1:1 until goal BP achieved.
the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To
Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH. Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Staff needed additional coaching on antihypertensive drips and rapid titration to reduce BP.
Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes. Controlling hypertension after a hemorrhage is the primary intervention to limit the risk of hematoma expansion (HE) and the sequelae of secondary injury.
We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Median door-to-needle (DTN), door-to-puncture (DTP), thrombolytic utilization and symptomatic hemorrhage rates were recorded at five primary (P) and a comprehensive stroke center (C).Results:During DTP was 73 minutes. P) and 3.0%(C).Conclusions:Hub-spoke
Neuro-telemetry nurses designed Stroke 90 as a follow-up outreach program to reduce the stroke readmission average by 2% over six months and address knowledge gaps. The next six weeks reinforce individualized stroke education and reassess for continued post-discharge needs. Outpatient visits and procedural admissions were excluded.
The program involves telephone visits with a stroke-specialized nurse within 1 week after discharge and 3 months post-discharge. Patients were also provided with the stroke nurses direct contact information to help navigate the healthcare system. vs 69.3%, p=0.04).
Nurses were provided with dosing table and care instruction badge backers. All impacted disciplines received education, including nursing skills demonstration. The system Alteplase hemorrhagic complication rate was 2.8% The legal department approved as our new standard of care for AIS. compared to 2.5% for Tenecteplase.
Background:Post-discharge phone calls to stroke patients are a valuable tool to assess medication compliance, stroke education retention and prevention of emergency room visits. Participants received phone calls from a Stroke Certified Registered Nurse at 7 days (Group 1), 14 days (Group 2), and 21 days (Group 3) post-discharge.
Introduction:Over half of stroke patients experience sexual dysfunction as a result of an ischemic or hemorrhagic stroke. Yet, sex education and treatment are not a primary component of post-stroke treatment and rehabilitation. Compared the stroke survivors post-stroke deficits to the education received from healthcare providers.
The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.
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