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Treatment Windows:
IV t-PA - 0-3 hours (Select patients up to
4.5 hrs)
IA (Intra-arterial) t-PA - 3-6 hours
MERCI retriever/Pneumbra - 6-8 hours
Joint Commission Stroke Guidelines
Strict NPO until swallow screen
obtained (ALL)
Reason documented why IV t-PA not given
(Ischemic)
Antithrombotic therapy end of hospital
day 2 (ASA, aggrenox, plavix, coumadin)
(Ischemic)
DVT prophylaxis end of hospital day 2
(SCDs, heparin SQ/IV, LMWH SQ, coumadin
therapeutic INR) (ALL)
Assessed for &/or received rehabilitation
(ALL)
Discharged on anticoagulation therapy
if A-Fib/Flutter (Ischemic)
Discharged on antithrombotic therapy
(Ischemic)
Discharged on a statin medication
(Ischemic)
Smoking Cessation Counseling (ALL)
Stroke Education (s/s stroke, call 911, risk
factors & modification, meds, need for follow
up) (ALL)
General Guidelines
Allow permissive hypertension (Ischemic)
o
Goal: 15% drop
o IV t-PA Goal: SBP < 185, DBP < 110
o Non t-PA Goal: SBP < 220, DBP <120
Treat source of temperature & lower (ALL)
Maintain Blood Sugar < 150 mg/dL (ALL)
Treatment Windows:
IV t-PA - 0-3 hours (Select patients up to
4.5 hrs)
IA (Intra-arterial) t-PA - 3-6 hours
MERCI retriever/Pneumbra - 6-8 hours
Joint Commission Stroke Guidelines
Strict NPO until swallow screen
obtained (ALL)
Reason documented why IV t-PA not given
(Ischemic)
Antithrombotic therapy end of hospital
day 2 (ASA, aggrenox, plavix, coumadin)
(Ischemic)
DVT prophylaxis end of hospital day 2
(SCDs, heparin SQ/IV, LMWH SQ, coumadin
therapeutic INR) (ALL)
Assessed for &/or received rehabilitation
(ALL)
Discharged on anticoagulation therapy
if A-Fib/Flutter (Ischemic)
Discharged on antithrombotic therapy
(Ischemic)
Discharged on a statin medication
patients physician.
Recognition to MD
Recognition to CT
Recognition to CT, lab, CXR &
- Recognition to Needle
(Ischemic)
Smoking Cessation Counseling (ALL)
Stroke Education (s/s stroke, call 911, risk
factors & modification, meds, need for follow
up) (ALL)
General Guidelines
Allow permissive hypertension (Ischemic)
o
Goal: 15% drop
o IV t-PA Goal: SBP < 185, DBP < 110
o Non t-PA Goal: SBP < 220, DBP <120
Treat source of temperature & lower (ALL)
Maintain Blood Sugar < 150 mg/dL (ALL)