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Blood Pressure Management Following Acute Ischemic Stroke: A Review of Primary Literature
Elevated blood pressure is common in patients with acute ischemic stroke. While this may occur secondary to the body's own response to preserve cerebral blood flow, elevated blood pressure may also increase the risk of hemorrhagic transformation. Current guidelines recommend various blood pressure goals based upon multiple factors, including thresholds specific to certain treatment interventions. Despite these guidelines, there is limited evidence to support specific blood pressure targets, and variability in clinical practice is common. The purpose of this review was to discuss blood pressure management in adult patients ...
Source: Critical Care Nursing Quarterly - February 22, 2020 Category: Nursing Tags: Original Articles Source Type: research

Indications and Evidence for Dual Antiplatelet Therapy After Acute Ischemic Stroke
The antiplatelet landscape for the secondary prevention of ischemic stroke has changed significantly over the past decade. Poststroke dual antiplatelet regimens are becoming increasingly routine as supported by recent literature and guideline recommendations. Dual antiplatelet therapy after stroke generally consists of aspirin and clopidogrel and is considered in the short term after stroke in select populations including those with mild stroke or transient ischemic attack and in patients with severe intracranial atherosclerosis. When initiating dual antiplatelet therapy, factors that may increase a patient's risk of bleed...
Source: Critical Care Nursing Quarterly - February 22, 2020 Category: Nursing Tags: Original Articles Source Type: research

Standardizing the Frequency of Neurologic Assessment After Acute Stroke
The National Institutes of Health Stroke Scale (NIHSS) is considered the standard for assessing neurologic status after an acute stroke. Currently, there is no guideline for when this assessment should be completed, nor is there consensus on how frequently or for how long. We initiated a quality improvement project that sought first to determine when and how often nurses at a variety of institutions in our multisite health care system completed the NIHSS assessment and then to identify the minimum frequency at which nurses should complete the assessment. After reviewing the literature and current practices and observing i...
Source: AJN - February 21, 2020 Category: Nursing Tags: Cultivating Quality Source Type: research

The Advanced Practice Nurse Will See You Now: Impact of a Transitional Care Clinic on Hospital Readmissions in Stroke Survivors
Conclusions: The results suggest the APRN-led clinic may impact 30-day hospital readmissions in stroke/transient ischemic attack survivors.
Source: Journal of Nursing Care Quality - February 20, 2020 Category: Nursing Tags: Articles Source Type: research

Effects of a Comprehensive Reminder System Based on the Health Belief Model for Patients Who Have Had a Stroke on Health Behaviors, Blood Pressure, Disability, and Recurrence From Baseline to 6 Months: A Randomized Controlled Trial
Conclusion The comprehensive reminder system improved patients' health behaviors and medication adherence and reduced blood pressure and disability; the effect extended to 6 months after discharge.
Source: Journal of Cardiovascular Nursing - February 12, 2020 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Development of the Implantable Cardioverter Defibrillator Body Image Concerns Questionnaire
Conclusion Using patient and healthcare professionals' involvement, we developed the 39-item ICD-BICQ to measure the prevalence of BICs in ICD recipients. The factor structure, construct validity, psychometric properties, and a clinically relevant cutoff for the ICD-BICQ will be evaluated in a quantitative study of ICD recipients.
Source: Journal of Cardiovascular Nursing - February 12, 2020 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Cells to Society: Year of the Nurse / Global Impact
This study establishes baseline sociodemographic and clinical characteristics of hospitalized patients in Nepal who were experiencing heart failure.     Read more   Maternal Health ...
Source: Johns Hopkins University and Health Systems Archive - February 6, 2020 Category: Nursing Source Type: news

ICU Nursing Priorities for Stroke Patients
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Source Type: research

ICU Nursing Care of the Stroke Patient
Almost 25 years ago, in June 1996, the Food and Drug Administration (FDA) approved intravenous (IV) Alteplase as the only acute drug therapy for ischemic stroke. It remains the mainstay drug to date and revolutionized Neurology, Stroke, and Neurocritcal Care. In 2013, the success of several mechanical thrombectomy studies proved the efficacy of endovascular thrombectomy for large vessel occlusions (LVO), both alone and in combination with IV Alteplase. The expanded time window opened this treatment option to a greater number of patients, who are now surviving with fewer deficits.
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Tags: Preface Source Type: research

Cryptogenic Stroke
Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigation needs to be tailored individually according to results of the clinical evaluation so appropriate secondary prevention strategies can be applied.
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Source Type: research

Clinical Localization of Stroke
This article explores the process of clinical localization in relation to the physiology affected by stroke vascular insufficiency. Elements of the neurologic examination are described as they relate to discreet areas in the brain and the National Institutes of Health Stroke Scale.
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Wendy Dusenbury, Anne W. Alexandrov Source Type: research

Providing Stroke and Hypertension Education in Amharic for Ethiopian Persons Living in Dallas, Texas, United States.
CONCLUSION: This study did not show a statistically significant increase in knowledge about stroke when presented learning materials in subjects' native language compared to in English. The use of video to present stroke and stroke-risk educational content can be used in future research and global health initiatives to increase stroke knowledge in the Amharic-speaking community. PMID: 32024741 [PubMed - in process]
Source: Creative Nursing - February 1, 2020 Category: Nursing Authors: Gebreyohanns M, Onuigbo CC, Ali A, Stutzman SE, Olson DM Tags: Creat Nurs Source Type: research

The Symptom Experience of Patients With Atrial Fibrillation Before Their Initial Diagnosis.
CONCLUSIONS: The current study identified challenges participants experienced in developing awareness of their AF symptoms, the complex cognitive processes associated with evaluation, and barriers that made it difficult to respond to AF symptoms in a timely manner. Understanding the prediagnosis symptom experience from the patient's perspective is essential for the enhancement of current AF screening practices. PMID: 32011349 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - January 31, 2020 Category: Nursing Authors: Wilson RE, Rush KL, Hatt L, Reid RC, Laberge CG Tags: J Cardiovasc Nurs Source Type: research

Effects of a Comprehensive Reminder System Based on the Health Belief Model for Patients Who Have Had a Stroke on Health Behaviors, Blood Pressure, Disability, and Recurrence From Baseline to 6 Months: A Randomized Controlled Trial.
CONCLUSION: The comprehensive reminder system improved patients' health behaviors and medication adherence and reduced blood pressure and disability; the effect extended to 6 months after discharge. PMID: 31904693 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - January 3, 2020 Category: Nursing Authors: Wang MY, Shen MJ, Wan LH, Mo MM, Wu Z, Li LL, Neidlinger SH Tags: J Cardiovasc Nurs Source Type: research

Listening to How Stroke Families Solve Problems in Caring
No abstract available
Source: Home Healthcare Nurse - January 1, 2020 Category: Nursing Tags: CONSULT PRN Source Type: research

Large Vessel Occlusion in the Acute Stroke Patient
Acute ischemic stroke is a major cause of death and disability in the United States. Historically, acute stroke patients were treated with intravenous (IV) thrombolysis. Patients with large vessel occlusions (LVOs) should be offered mechanical thrombectomy, with or without IV thrombolysis, in an extended window up to 24  hours of last known well. Both treatment options are the standard of care for a patient with an LVO. It is critical that the intensive care unit nurse understand new treatment indications for LVO strokes, and the priorities of nursing care with medical and endovascular intervention.
Source: Critical Care Nursing Clinics of North America - December 24, 2019 Category: Nursing Authors: Kiffon M. Keigher Source Type: research

Monitoring for Poststroke Seizures
It is unpredictable which stroke survivors will experience a seizure following a stroke. Stroke is a major cause of seizures. Critical care nurses need to know the risk factors, type of stroke at risk, stroke location, and severity for the poststroke patient who is at risk for an early or late seizure. Poststroke seizures require appropriate nursing assessments, management, and support.
Source: Critical Care Nursing Clinics of North America - December 24, 2019 Category: Nursing Authors: Cynthia Bautista Source Type: research

Stroke Rehabilitation
Acute stroke care is completed, and it is time for discharge. Depending on patient needs, they may continue care with outpatient therapies, home health, long-term acute care, or an acute inpatient rehabilitation facility. This is an overview of the rehabilitation process, nursing care, an interdisciplinary team approach, and psychosocial aspects of acute inpatient rehabilitation. Rehabilitation nursing focuses on goals, outcomes, the attainment or maintenance of functional capacity, understanding long-range patient needs, and wellness. From the moment care delivery is initiated we should all be a part of the rehabilitation...
Source: Critical Care Nursing Clinics of North America - December 23, 2019 Category: Nursing Authors: Maureen Le Danseur Source Type: research

Management of the Patient with Malignant Hemispheric Stroke
This article discusses malignant middle cerebral artery stroke pathophysiology, techniques to predict patients at risk for herniation, collaborative care strategies, and nursing care.
Source: Critical Care Nursing Clinics of North America - December 21, 2019 Category: Nursing Authors: Mary McKenna Guanci Source Type: research

Priority Nursing Interventions Caring for the Stroke Patient
Nearly 20% of all patients with ischemic stroke will require care in an intensive care unit (ICU), particularly those who have received intravenous alteplase or endovascular therapy. Prioritizing nursing intervention and intensive care monitoring can improve patient outcomes and reduce disability. A collaborative interdisciplinary team approach best facilitates the ICU care of an acute stroke patient.
Source: Critical Care Nursing Clinics of North America - December 19, 2019 Category: Nursing Authors: Sarah Beth Thomas, Mary P. Amatangelo Source Type: research

What Is Stroke Certification and Does It Matter?
Many academic and community hospitals have obtained, or are considering obtaining, stroke center certification. Participation in structured quality improvement programs that also incorporate an objective assessment has been shown to improve outcomes and foster team building. Although obtaining certification can be challenging and costly, it can provide a framework to ensure hospitals deliver high- level, evidence-based stroke care. For the intensive care unit nurse, awareness and participation in the certification programs process is an important part of professional nursing practice.
Source: Critical Care Nursing Clinics of North America - December 19, 2019 Category: Nursing Authors: Linda M. Bresette Source Type: research

Ethical Concerns Caring for the Stroke Patient
Stroke is a sudden, unexpected illness with an uncertain prognosis for functional recovery. Ethical issues in the care of patients with stroke include assessment of decision-making capacity when cognition or communication is impaired, prognostication, evaluation of quality of life, withdrawal or withholding of life-sustaining treatment, and how to optimize surrogate decision making. Skilled communication between clinicians and patients or their surrogates promotes shared decision making and may prevent ethical conflict. Nurses with an understanding of the ethics of stroke care play an important role in the care of patients...
Source: Critical Care Nursing Clinics of North America - December 12, 2019 Category: Nursing Authors: Dea Mahanes Source Type: research

Council on Cardiovascular and Stroke Nursing Liaison Report on Global Engagement Activities
No abstract available
Source: Journal of Cardiovascular Nursing - December 7, 2019 Category: Nursing Tags: DEPARTMENTS: Council on Cardiovascular Nursing Source Type: research

Direct Cost Related to Stroke: A Longitudinal Analysis of Survivors After Discharge From a Rehabilitation Hospital
Conclusion In the first poststroke year, direct costs have remained stable over time and can be predicted by the level of education and physical functioning. The identification of specific direct cost predictors would be helpful for developing more socially and economically tailored interventions for stroke survivors in their first year after their stroke.
Source: Journal of Cardiovascular Nursing - December 7, 2019 Category: Nursing Tags: ARTICLES: Outcomes Source Type: research

Direct Cost Related to Stroke: A Longitudinal Analysis of Survivors After Discharge From a Rehabilitation Hospital.
CONCLUSION: In the first poststroke year, direct costs have remained stable over time and can be predicted by the level of education and physical functioning. The identification of specific direct cost predictors would be helpful for developing more socially and economically tailored interventions for stroke survivors in their first year after their stroke. PMID: 31804249 [PubMed - in process]
Source: The Journal of Cardiovascular Nursing - December 7, 2019 Category: Nursing Authors: Pucciarelli G, Rebora P, Arisido MW, Ausili D, Simeone S, Vellone E, Alvaro R Tags: J Cardiovasc Nurs Source Type: research

Council on Cardiovascular and Stroke Nursing Liaison Report on Global Engagement Activities.
PMID: 31804245 [PubMed - in process]
Source: The Journal of Cardiovascular Nursing - December 7, 2019 Category: Nursing Authors: Hayman LL, Taylor-Piliae RE, Fink AM Tags: J Cardiovasc Nurs Source Type: research

Use of health services by elderly people post-stroke: a randomized controlled trial.
CONCLUSION: The great use of outpatient service by the IG demonstrates the effectiveness of nursing educational intervention focused on health care network after discharge. PMID: 31800798 [PubMed - in process]
Source: Revista gaucha de enfermagem EENFUFRGS - December 6, 2019 Category: Nursing Tags: Rev Gaucha Enferm Source Type: research

Urinary incontience after stroke.
This article looks at the normal physiology associated with continence and stroke. It suggests possible treatment options during the post-stroke rehabilitation phase to encourage improved patient experience and professionals' confidence and knowledge base when treating this group of patients. PMID: 31800309 [PubMed - in process]
Source: British Journal of Community Nursing - December 2, 2019 Category: Nursing Authors: Holroyd S Tags: Br J Community Nurs Source Type: research

Online resources for stroke survivors
No abstract available
Source: Nursing - November 26, 2019 Category: Nursing Tags: Department: INFOBYTES Source Type: research

Hypertension management in patients with chronic kidney disease
Abstract: Managing hypertension, especially when accompanied by chronic kidney disease, is challenging. These different but related conditions are complicated by differing guidelines. NPs can safely prescribe antihypertensive treatments, which reduce hypertension and the risk of associated comorbidities, such as kidney failure, stroke, myocardial infarction, and vascular disease.
Source: The Nurse Practitioner - November 26, 2019 Category: Nursing Tags: Feature: HYPERTENSION: CE Connection Source Type: research

Couples coping in the community after the stroke of a spouse: A scoping review
AbstractAimTo summarize evidence on the poststroke coping experiences of stroke patients and spousal caregivers living at home in the community.DesignA scoping review.MethodsExtensive searches were conducted in credible databases. Articles published in the English language were retrieved. Data were extracted based on study location, aims, study design, sample size, time after stroke and key findings.ResultsOut of 53 identified articles, 17 studies were included in the review. Five key themes were as follows: (a) emotional challenges; (b) role conflicts; (c) lack of strategies in coping; (d) decreased life satisfaction of t...
Source: Nursing Open - November 16, 2019 Category: Nursing Authors: Sheena Ramazanu, Alice Yuen Loke, Vico Chung Lim Chiang Tags: REVIEW ARTICLE Source Type: research

Long-term Outcomes of Critically Ill Patients With Stroke Requiring Mechanical Ventilation.
CONCLUSION: In this study, adult patients requiring mechanical ventilation at the onset of stroke experienced high 1-year mortality, with survivors having poor functional status. PMID: 31676523 [PubMed - in process]
Source: American Journal of Critical Care - November 1, 2019 Category: Nursing Authors: Bouvet P, Murgier M, Pons B, Darmon M Tags: Am J Crit Care Source Type: research

Relationship between elderly stroke patient caregivers scale and nursing diagnoses.
This study demonstrates the importance of identifying nursing diagnoses and their relationship with factors that evaluate caregiving capacity. The ECPICID-AVC can help nurses generate nursing diagnoses regarding the caregiver's needs and their capacities related to care to focus such needs. PMID: 31826218 [PubMed - in process]
Source: Revista Brasileira de Enfermagem - November 1, 2019 Category: Nursing Authors: Pizzol FLFD, Vieira LF, Bierhals CCBK, Azzolin KO, Paskulin LMG, Low G, Rosa NGD, Lucena AF Tags: Rev Bras Enferm Source Type: research

Experiences and needs of patients on the endovascular therapy pathway after acute ischaemic stroke: Being helpless and next to yourself
AbstractAimsTo explore the experiences and needs of patients on the endovascular therapy pathway.DesignA qualitative design using a phenomenological –hermeneutic approach.MethodsSemi ‐structured interviews and participant observations were carried out. Data were collected from April 2016–January 2017. Data were analysed using Ricoeur's theory of interpretation, capturing meaning and ensuring comprehensive understanding. The Consolidated Criteria for Reporting Qualitative Res earch checklist was used as a guideline.ResultsThe findings of this study show that the impact of stroke goes far beyond physical disability. Du...
Source: Nursing Open - October 24, 2019 Category: Nursing Authors: Kristina Eiskj ær Sørensen, Pia Dreyer, Mads Rasmussen, Claus Z. Simonsen, Grethe Andersen Tags: RESEARCH ARTICLE Source Type: research

Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.
CONCLUSION: this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units. PMID: 31618390 [PubMed - in process]
Source: Revista Latino-Americana de Enfermagem - October 14, 2019 Category: Nursing Authors: Gaspari AP, Cruz EDA, Batista J, Alpendre FT, Zétola V, Lange MC Tags: Rev Lat Am Enfermagem Source Type: research

Associations Between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences Among Medicare Stroke Patients
Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Prehospital and hospital delays for stroke patients treated with thrombolysis: access to health care facility – still a bottle neck in stroke care in developing nation
We read with much interest, the article “Prehospital and hospital delays for stroke patients treated with thrombolysis: A retrospective study from mixed rural- urban area in Northern Finland” by Varjoranta et al published in your esteemed journal. Authors have done an excellent retrospective study including 232 stroke patients, compar ing the distribution of time taken by patients from diagnosis to administration of thrombolysis in an urban versus a rural population [1].
Source: Australasian Emergency Nursing Journal - August 17, 2019 Category: Nursing Authors: Ajay Kumar Mishra, Ramya Iyadurai Tags: Letter to the Editor Source Type: research

American Heart Association Council on Cardiovascular and Stroke Nursing Liaison Report From the Development Committee.
PMID: 31403503 [PubMed - in process]
Source: The Journal of Cardiovascular Nursing - August 15, 2019 Category: Nursing Authors: Davis LL, Fink AM, Taylor-Piliae RE Tags: J Cardiovasc Nurs Source Type: research

Empowering Nurses to Lead Efforts to Reduce Cardiovascular Disease and Stroke Risk: Tools for Global Impact.
PMID: 31403502 [PubMed - in process]
Source: The Journal of Cardiovascular Nursing - August 15, 2019 Category: Nursing Authors: Commodore-Mensah Y, Turkson-Ocran RA, Dennison Himmelfarb CR Tags: J Cardiovasc Nurs Source Type: research

Caring for a stroke patient: The burden and experiences of primary caregivers in Uganda – A qualitative study
AbstractAimWe assessed the burden and experiences of caregivers looking after stroke patients in Kampala, Uganda.DesignWe conducted a qualitative cross ‐sectional study between May 2018–July 2018 among primary caregivers of stroke patients.MethodsThe primary caregiver was defined as the person spending most of the time providing daily care for the stroke patient for at least four months. Purposive sampling was used to consecutively recruit the primary caregivers. In ‐depth interviews were conducted, and audiotape recorded, and observations were also made. Data were managed using NVIVO 12.0 following thematic approach...
Source: Nursing Open - August 4, 2019 Category: Nursing Authors: Namale Gertrude, Rachel Kawuma, Winifred Nalukenge, Onesmus Kamacooko, Laetitia Yperzeele, Patrick Cras, Edward Ddumba, Robert Newton, Janet Seeley Tags: RESEARCH ARTICLE Source Type: research

Time Extended for Use of Image-Guided Intravenous Alteplase After Stroke.
Abstract Patients benefit from treatment up to nine hours. PMID: 31356310 [PubMed - in process]
Source: The American Journal of Nursing - July 31, 2019 Category: Nursing Authors: Potera C Tags: Am J Nurs Source Type: research

Respond, Intervene and Escalate: Acute Stroke Events in the Post Anesthesia Care Unit
In the post-anesthesia care unit (PACU) setting there can be challenges in differentiating between anesthesia-related versus thrombolytic neurologic deficits. The ability to accurately assess, differentiate and escalate care is imperative to improve outcomes. The occurrence of acute stroke events in the peri-operative setting at a comprehensive cancer center emphasized the need for an evidence-based and comprehensive approach to assessment, communication and documentation of risk factors for thrombotic complications.
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lisa Jiang, Heather Douglas, Miguel Laxa, Leena Mathew, Sharon Sarmiento, Kimberly Vanderhorst, Elizabeth Vogler Tags: ASPAN National Conference Abstract Source Type: research

Psychometric Testing of the Turkish Version of the Stroke Self-Efficacy Questionnaire
Conclusions/Implications for Practice These results indicate that the T-SSEQ is acceptable for use with Turkish stroke patients in both practice and research settings. Furthermore, the questionnaire is suitable for nurses to use in designing interventions and evaluating stroke patients' self-efficacy in clinics, home care, and rehabilitation centers.
Source: Journal of Nursing Research - July 16, 2019 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Hyperglycemia management in patients with acute ischemic stroke
This article evaluates the latest evidence in hyperglycemia treatment for consideration in the acute ischemic stroke population.
Source: Nursing Critical Care - May 1, 2018 Category: Nursing Tags: Feature: Stroke Spotlight Source Type: research

The Impact of Nurse Staffing on In-Hospital Mortality of Stroke Patients in Korea
Conclusion: Policies to educate sufficient numbers of nurses and retain them in the field are warranted, especially because medical-cost containment has become a dominant concern in most countries. Further studies are needed to understand the mechanisms and other protective roles of nurse staffing to ensure long-term health outcomes after hospital discharge.
Source: Journal of Cardiovascular Nursing - January 1, 2018 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Age-Group and Gender Differences in Stroke Knowledge in an Israeli Jewish Adult Population
Conclusion: Participants younger than 45 years showed the lowest levels of stroke knowledge. The highest stroke knowledge was found in the 45 to 64 years age group. Stroke knowledge among different age groups was similar in both genders. Educational campaigns aimed at increasing knowledge of stroke among the general population and targeting the younger population are recommended.
Source: Journal of Cardiovascular Nursing - January 1, 2018 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

The Impact of Nurse Staffing on In-Hospital Mortality of Stroke Patients in Korea
Conclusion: Policies to educate sufficient numbers of nurses and retain them in the field are warranted, especially because medical-cost containment has become a dominant concern in most countries. Further studies are needed to understand the mechanisms and other protective roles of nurse staffing to ensure long-term health outcomes after hospital discharge.
Source: Journal of Cardiovascular Nursing - December 6, 2017 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Age-Group and Gender Differences in Stroke Knowledge in an Israeli Jewish Adult Population
Conclusion: Participants younger than 45 years showed the lowest levels of stroke knowledge. The highest stroke knowledge was found in the 45 to 64 years age group. Stroke knowledge among different age groups was similar in both genders. Educational campaigns aimed at increasing knowledge of stroke among the general population and targeting the younger population are recommended.
Source: Journal of Cardiovascular Nursing - December 6, 2017 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Ateplase for ischaemic stroke: increased risk of intracranial haemorrhage is balanced by improved stroke outcomes, particularly if treated within 3-4.5 h of onset
Commentary on: Emberson J, Lees KR, Lyden P, et al., Stroke Thrombolysis Trialists’ Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 2014;384:1929–35. Implications for practice and research Thrombolysis given to appropriate patients within 4.5 h of the onset of stroke symptoms increases the chance of a good outcome. The earlier it is given, the more likely it is to be effective. Thrombolysis increases the risk of early death,...
Source: Evidence-Based Nursing - September 21, 2015 Category: Nursing Authors: Rudd, A. Tags: Drugs: cardiovascular system, Stroke, Ischaemic heart disease, Clinical diagnostic tests Adult nursing Source Type: research

Earlier thrombolytic treatment is associated with better outcomes following acute ischaemic stroke
Commentary on Saver JL, Fonarow GC, Smith EE, et al.. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischaemic stroke, JAMA 2013;309:2480–8. Implications for practice and research Optimisation is necessary in public education and hospital triage of the identification of factors such as arrival by ambulance and the importance of requesting emergency medical services (EMS) at scene of the stroke occurrence.1 The results of previous studies suggest that a disparity, observed between hospital-based outcomes for admissions that presented during regular hours and off hours, is not se...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Ullah, N., Thompson, M. J., Qureshi, A. I. Tags: Adult nursing, Drugs: cardiovascular system, Stroke Source Type: research