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Nursing-Based Dysrhythmia Detection on a Dedicated Stroke Unit Using a Unit-Based Cardiac Telemetry Monitoring System
Conclusion: Stroke unit nurses who complete an educational program can identify dysrhythmias on their patients’ unit-based cardiac monitoring systems and can improve patient outcomes.
Source: Journal of Cardiovascular Nursing - February 15, 2017 Category: Nursing Tags: ARTICLES: Acute Care Source Type: research

Dabigatran etexilate: management in acute ischemic stroke.
Abstract A 54-year-old man treated with dabigatran experienced new onset of a stroke with a score of 9 on the National Institutes of Health Stroke Scale. Administration of recombinant tissue plasminogen activator (rtPA) was not recommended because of the dabigatran therapy. Angiography showed occlusion of the left middle cerebral artery by an embolic thrombus. Suction thrombectomy achieved flow through the inferior division of the artery. Computed tomography of the head showed possible intracranial hemorrhage, and dabigatran reversal was attempted with prothrombin complex concentrate and recombinant factor VIIa. C...
Source: American Journal of Critical Care - March 1, 2013 Category: Nursing Authors: Javedani PP, Horowitz BZ, Clark WM, Lutsep HL Tags: Am J Crit Care Source Type: research

Atrial fibrillation: Stroke prevention in focus
Conclusion: AF is a common and burdensome condition where treatment is complex and not without, risk. Nurses will encounter individuals with AF across a variety of primary and acute care areas, understanding the risk of AF and appropriate therapies is important across all care settings. Treatment, must be individually tailored to the needs of the patient and balanced with the best available evidence.
Source: Australian Critical Care - September 20, 2013 Category: Nursing Authors: Caleb Ferguson, Sally C. Inglis, Phillip J. Newton, Sandy Middleton, Peter S. Macdonald, Patricia M. Davidson Tags: Review Paper Source Type: research

Use of direct oral anticoagulants for stroke prevention in elderly patients with nonvalvular atrial fibrillation
ConclusionsDOACs are at least as effective as warfarin for stroke prevention in elderly patients with NVAF. Compared with warfarin, DOACs were associated with reduced risk of intracranial hemorrhage, while some DOACs demonstrated an increase in other bleeding events (e.g., gastrointestinal). The faster onset and offset of action and fewer food and drug interactions of DOACs may be an advantage over warfarin for some patients. Implications for practiceDOACs are an alternative to warfarin with overall equivalent safety and efficacy in elderly patients with NVAF, and may be preferable for some. Stroke risk must always be bala...
Source: Journal of the American Academy of Nurse Practitioners - August 14, 2017 Category: Nursing Authors: Lynn B. Oertel, Annemarie E. Fogerty Tags: REVIEW ‐ SPONSORED Source Type: research

Can we improve the early detection of atrial fibrillation in a stroke unit? Detection rate of a monitor with integrated detection software
Conclusion: The monitor with AF-RS demonstrated a higher detection rate for AF than standard ECG monitoring in acute stroke patients in a SU.
Source: European Journal of Cardiovascular Nursing - January 20, 2016 Category: Nursing Authors: Arevalo-Manso, J. J., Martinez-Sanchez, P., Fuentes, B., Ruiz-Ares, G., Sanz-Cuesta, B. E., Prefasi, D., Juarez-Martin, B., Navarro-Parias, A., Parrilla-Novo, P., Diez-Tejedor, E. Tags: Original Articles Source Type: research

Stroke Prevention in Nonvalvular Atrial Fibrillation: Update on Target-Specific Oral Anticoagulants.
Abstract Atrial fibrillation is the most common arrhythmia in adults, and the risk for stroke is increased five-fold. Efforts should be made to educate health care providers to understand the importance of using risk stratification tools. New oral anticoagulants are available for thromboembolic stroke prevention, and knowledge of their clinical indications and use is essential. J Contin Educ Nurs. 2015;46(4):152-154. PMID: 25856447 [PubMed - as supplied by publisher]
Source: Journal of Continuing Education in Nursing - April 1, 2015 Category: Nursing Authors: Patrick C, Clarke R Tags: J Contin Educ Nurs Source Type: research

Update on implantable loop recorders for secondary stroke prevention.
Abstract Implantable loop recorders are used to detect abnormal arrhythmias in patients with unexplained syncope. These devices capture paradoxical episodes of atrial fibrillation and may be helpful for patients with unexplained stroke. Nurses should be familiar with safety and care instructions and take precautions surrounding diagnostic testing in patients with these devices. J Contin Educ Nurs. 2014;45(7):290-291. PMID: 24999972 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - July 1, 2014 Category: Nursing Authors: Barry E Tags: J Contin Educ Nurs Source Type: research

Atrial fibrillation: Stroke prevention in focus
Atrial fibrillation (AF) is a common arrhythmia and a risk factor for stroke and other, adverse events. Internationally there have been recent advancements in the therapies available for, stroke prevention in AF. Nurses will care for individuals with AF across a variety of primary and acute, care settings and should be familiar with evidence based therapies.
Source: Australian Critical Care - September 20, 2013 Category: Nursing Authors: Caleb Ferguson, Sally C. Inglis, Phillip J. Newton, Sandy Middleton, Peter S. Macdonald, Patricia M. Davidson Tags: Review Paper Source Type: research

Percutaneous Closure of the Left Atrial Appendage for Stroke Prevention in Atrial Fibrillation: An Alternative to Lifelong Anticoagulation?
Atrial fibrillation is an important risk factor for thromboembolic stroke and it significantly increases the risk of stroke. The left atrial appendage (LAA) is the most common site of thrombus formation in nonvalvular atrial fibrillation, and the recent applications of percutaneous LAA closure devices offer a promising alternative for patients who are unable to tolerate lifelong anticoagulation. Critical care nurses who understand the procedures and are familiar with the various devices used for LAA closure will be well prepared to provide optimum care and appropriate education for these patients.
Source: Critical Care Nursing Quarterly - September 11, 2015 Category: Nursing Tags: Original Articles Source Type: research

Nonvitamin K antagonist oral anticoagulants in everyday practice: Stroke prevention in atrial fibrillation and treatment of venous thromboembolism
ConclusionsAll four NOACs are equivalent to or better than warfarin for the treatment of VTE and stroke prevention in AF, and may reduce the risk of bleeding complications, particularly intracranial bleeding. Implications for practiceNOACs may benefit some patients by avoiding the numerous food or drug interactions and frequent laboratory monitoring associated with warfarin. Adherence to proper dosing is critical for NOAC efficacy and safety.
Source: Journal of the American Academy of Nurse Practitioners - December 17, 2015 Category: Nursing Authors: Barbara A. Bentz Tags: REVIEW Source Type: research

Clinical outcomes of ischemic stroke patients after thrombolytic therapy
Conclusion Thrombolytic therapy presented positive outcomes, regardless of long thrombolysis time and high neurologic deficit scores.
Source: Acta Paulista de Enfermagem - March 24, 2017 Category: Nursing Source Type: research

Anticoagulation for Stroke Prevention in Atrial Fibrillation
This article reviews strategies for the use of anticoagulation and highlights the nurse ’s role in patient education.
Source: Nursing Clinics of North America - June 16, 2023 Category: Nursing Authors: Carrie Palmer Source Type: research

EBN resources page
SIGN Apps for iPhone and iPad http://itunes.com/apps/signguidelines, https://play.google.com/store/apps/details?id=com.rootcreative.sign The SIGN app has recently been updated and now contains quick reference guides (QRGs) for:SIGN 136 Management of chronic pain SIGN 135 Management of epithelial ovarian cancer SIGN 134 Treatment of primary breast cancer SIGN 133 Management of hepatitis C The SIGN app has also had a complete re-design and now features:Optimisation for the latest operating systems Re-designed for improved legibility Send pdf button feature Split screen feature (ipad) Prevention of stroke in patients with atr...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Tags: Liver disease, General practice / family medicine, Hepatitis and other GI infections, Drugs: cardiovascular system, Pain (neurology), Stroke, Diet, Pregnancy, Reproductive medicine, Breast cancer, Gynecological cancer, Lung cancer (oncology), Radiotherapy Source Type: research

NICE advises against aspirin for cutting stroke risk in AF patients
The National Institute for Health and Care Excellence has recommended that people with atrial fibrillation are prescribed an anticoagulant instead of aspirin to reduce their risk of stroke.
Source: Nursing Times Breaking News - June 20, 2014 Category: Nursing Source Type: news

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