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NEUROLOGICAL ASSESSMENT & FUNCTIONAL ANATOMY

  • Neurological Assessment

    • Neurological assessment identifies deficits, recognizes deterioration, and helps determine the underlying neurological problem.

    • Interpret neurological findings together rather than as isolated abnormalities.

    • New neurological deficits require:

      • Focused assessment.

      • Assessment for associated symptoms.

      • Timely reporting to the provider.

    • CLINICAL GEM: The location and pattern of neurological deficits can help identify the affected area of the brain.

    • Cerebral motor deficits commonly occur contralateral to the affected brain hemisphere.

      • Right cerebral injury → left-sided motor deficits.

      • Left cerebral injury → right-sided motor deficits.

  • Frontal Lobe

    • Functions include:

      • Personality.

      • Motor function.

      • Motor speech.

      • Judgment.

    • Injury may cause:

      • Emotional instability.

      • Agitation.

      • Restlessness.

      • Impaired judgment.

      • Personality or behavioral changes.

    • Behavioral and judgment changes can create significant safety concerns and may persist after acute stabilization.

  • Occipital Lobe

    • Primarily associated with vision.

    • Injury may cause:

      • Blurred vision.

      • Visual disturbances.

      • Abnormal colors.

      • Spots within the visual field.

  • Brainstem

    • Controls essential functions including:

      • Respirations.

      • Heart rate.

    • Severe increased ICP can compress the brainstem and compromise respiratory and cardiovascular function.

  • Hypothalamus & Pituitary

    • Compression may interfere with:

      • Temperature regulation.

      • Fluid regulation.

      • Electrolyte regulation.

      • Endocrine function.

    • Monitor for:

      • SIADH.

      • Diabetes insipidus.

  • Ventricles & CSF

    • The ventricular system contains and circulates CSF.

    • The brain contains four ventricles, including two lateral ventricles.

    • Clinical significance:

      • Ventricles can become compressed by increasing ICP.

      • Ventricles can be accessed for direct ICP monitoring.

      • CSF can be drained through a ventriculostomy.

    • TRAP: Detailed ventricular anatomy is not an exam focus.

KEY TAKEAWAYS

  • Neurological findings should be interpreted as a complete pattern rather than isolated abnormalities.

  • Cerebral motor deficits commonly occur contralateral to the affected brain hemisphere.

  • Frontal-lobe injury can cause behavioral, personality, judgment, and safety problems.

  • Occipital-lobe injury commonly produces visual disturbances.

  • Brainstem compression threatens respiratory and cardiovascular function.

  • Pituitary and hypothalamic compression can disrupt temperature, fluid, electrolyte, and endocrine regulation.

  • Detailed ventricular anatomy is not an exam focus.


INTRACRANIAL REGULATION & INCREASED INTRACRANIAL PRESSURE

  • Primary vs. Secondary Brain Injury

    • Primary injury

      • Direct injury caused by the original trauma or neurological insult.

    • Secondary injury

      • Additional damage developing as a consequence of the primary injury.

      • May include:

        • Cerebral edema.

        • Increased ICP.

        • Decreased cerebral perfusion.

        • Ischemia.

        • Additional neurological deficits.

    • Preventing and treating secondary brain injury is a major neurological-management goal.

    • Injury → inflammation → tissue swelling/fluid shifts → compression → decreased cerebral blood flow → ischemia → tissue death → possible herniation.

  • Intracranial Pressure

    • Normal ICP: 5–15 mm Hg.

    • Sustained ICP ≥20 mm Hg → clinically significant increased ICP with risk for:

      • Neurological deterioration.

      • Coma.

      • Death.

    • Trend ICP and neurological findings rather than relying on a single measurement.

  • Monro-Kellie Doctrine

    • The closed skull contains:

      • Brain tissue.

      • Blood.

      • CSF.

    • Increasing one component requires compensation by the others to prevent ICP from rising.

    • When compensation is exhausted:

      • ICP rises.

      • Cerebral vessels and brain tissue become compressed.

    • The doctrine assumes a closed skull.

      • It does not apply in the same manner with an open skull fracture.

    • TRAP: Focus on understanding the pressure-volume relationship rather than memorizing a formal definition.

  • Cerebral Blood Flow & Autoregulation

    • Normal cerebral blood flow: approximately 50 mL/min/100 g brain tissue.

    • Brain tissue requires continuous:

      • Oxygen.

      • Glucose.

    • Autoregulation adjusts vascular resistance to maintain cerebral blood flow.

    • Increased cerebral vascular resistance → vasoconstriction → decreased cerebral blood flow.

    • Cerebral blood flow is affected by:

      • CO₂.

      • O₂.

      • Hydrogen ion concentration.

    • Increased PaCO₂ causes cerebral vasodilation in a normally autoregulating brain.

    • Severe neurological injury may cause loss of autoregulation.

  • MAP & CPP

    • MAP = [SBP + 2(DBP)] ÷ 3

    • CPP = MAP − ICP

    • Normal CPP: 60–100 mm Hg.

    • Maintain CPP >60 mm Hg during ICP management.

    • Neurological patients require MAP approximately ≥70 mm Hg in this lecture framework.

    • MAP >150 mm Hg was identified as undesirable.

    • CLINICAL GEM: Increasing ICP can reduce CPP even when systemic blood pressure initially appears adequate.

  • Progression of Increased ICP

    • Neurological insult → cerebral edema → increased ICP.

      • Increased ICP compresses ventricles and cerebral vessels.

        • Cerebral blood flow decreases.

          • Brain oxygen delivery decreases.

            • Ischemia and brain-cell death occur.

              • Necrotic tissue produces additional edema.

                • Compression worsens.

                  • Brainstem/respiratory centers become compromised.

                    • CO₂ accumulates.

                      • Acidosis develops.

                        • Aututoregulation fails.

                          • Herniation and death may occur.

    • Time is tissue.

  • Brain Herniation

    • Severe ICP can displace brain tissue downward.

    • Brainstem displacement through the tentorial opening is an ominous progression.

    • Herniation represents catastrophic neurological deterioration.

  • Cerebral Edema

    • Cerebral edema increases intracranial volume and ICP.

    • Vasogenic edema

      • Fluid moves from the vascular compartment into surrounding brain tissue.

    • Cytotoxic edema

      • Associated with cellular injury from cerebral hypoxia/anoxia.

    • Interstitial edema

      • Fluid accumulates within brain tissue and contributes to compression and tissue destruction.

    • Treatment focuses on:

      • Decreasing cerebral edema.

      • Moving excess fluid out of brain tissue.

      • Preserving cerebral perfusion.

  • Level of Consciousness

    • Change in LOC is one of the most sensitive and reliable manifestations of neurological deterioration.

    • LOC changes may be:

      • Gradual.

      • Sudden.

    • Neurological status should be assessed routinely and more frequently when deterioration is suspected.

    • Even subtle LOC or behavioral changes require attention.

    • Nursing staff, including the nurse or CNA, may be the first to recognize a subtle change.

    • CLINICAL GEM: The significance is the change from baseline, even when the abnormality initially appears subtle.

    • CLINICAL GEM: An initially negative CT does not eliminate the need for continued neurological assessment after head trauma.

      • A later LOC change may indicate evolving bleeding or secondary brain injury.

  • Glasgow Coma Scale

    • Evaluates:

      • Eye opening.

      • Verbal response.

      • Motor response.

    • Highest GCS: 15.

    • Lowest GCS: 3.

    • GCS ≤8 → anticipate airway protection/intubation.

    • Use GCS to objectively trend neurological status rather than relying only on orientation.

    • TRAP: Score the patient's actual response rather than a general impression of neurological status.

    • CLINICAL GEM: A substantial decline in GCS represents neurological deterioration even when individual component scoring is debated.

  • Cushing’s Triad

    • Cushing’s triad is a medical emergency associated with severe increased ICP.

    • Components:

      • Systolic hypertension with widening pulse pressure.

      • Bradycardia with a bounding pulse.

      • Irregular respirations.

    • Respiratory patterns may become increasingly irregular or paradoxical with severe deterioration/herniation.

    • Normal pulse pressure is approximately 40 mm Hg.

    • Approximately 30/35–45/50 mm Hg was discussed as the usual pulse-pressure range.

    • Pulse pressure ≥60 mm Hg is widened.

    • CLINICAL GEM: Declining LOC + new unequal pupils + rising systolic BP/widening pulse pressure + bradycardia + respiratory changes → severe increased ICP with impending neurological deterioration.

    • Temperature changes may occur with hypothalamic compression.

    • Major temperature-regulation changes in this setting indicate significant intracranial compression.

  • Pupillary Changes

    • CN III compression can alter pupillary response.

    • Unilateral pupillary changes associated with intracranial compression occur ipsilateral to the affected side in this lecture framework.

    • Bilaterally fixed and dilated pupils are an ominous finding associated with herniation.

    • Pinpoint pupils may indicate:

      • Pontine injury.

      • Drug effects.

    • Trend:

      • Pupil size.

      • Equality.

      • Reactivity.

  • Motor Changes

    • Increased ICP may produce:

      • Contralateral hemiparesis.

      • Contralateral hemiplegia.

      • Localized abnormal motor responses.

      • Bilateral posturing with severe injury.

    • Decorticate and decerebrate posturing

      • Abnormal neurological motor responses.

    • Opisthotonic posturing

      • Severe arching of the body.

      • May occur with severe neurological injury or neurotoxicity.

      • Ominous neurological finding.

  • Headache & Vomiting

    • Headache may accompany increased ICP.

    • TRAP: Headache alone does not establish increased ICP.

    • Interpret headache with:

      • Mechanism.

      • LOC.

      • Neurological findings.

      • Vital-sign trends.

    • Increased ICP may cause vomiting that is:

      • Sudden.

      • Unexpected.

      • Projectile.

      • Not preceded by nausea.

  • Neurological Diagnostics

    • CT

      • Rapidly evaluates intracranial structures and bleeding.

    • MRI

      • Provides more sensitive neurological imaging.

      • Less rapid than CT for emergency evaluation.

    • Angiography

      • Evaluates cerebral vasculature.

    • Transcranial Doppler

      • Evaluates cerebral blood flow and vasculature.

    • Infrascanner

      • May help identify cerebral hemorrhage contributing to compression.

    • Diagnostic planning must account for the entire patient.

      • CLINICAL GEM: Significant renal disease is important when contrast-based studies are considered.

  • Lumbar Puncture

    • May obtain CSF when an infectious neurological cause is suspected.

    • Assess:

      • Coagulation status.

      • Anticoagulant therapy.

      • Bleeding risk.

    • After LP:

      • Monitor the puncture site for bleeding.

      • Monitor for severe headache.

      • Keep the patient flat for approximately 30–60 minutes in this lecture framework.

      • Severe post-LP headache may require a blood patch.

  • Laboratory Assessment

    • May include:

      • CBC.

      • Chemistry panel.

      • Coagulation studies.

      • Electrolytes.

      • Ammonia.

      • Toxicology screening.

    • Electrolytes become particularly important when pituitary/hypothalamic compression affects fluid regulation.

    • Toxic substances may:

      • Mimic neurological abnormalities.

      • Mask neurological deterioration.

      • Complicate assessment.

  • Direct ICP Monitoring

    • Direct monitoring guides ongoing management.

    • Continue trending:

      • GCS.

      • Neurological status.

      • Vital signs.

      • Hemodynamics.

      • Oxygenation.

    • Critically ill patients may require:

      • Arterial line.

      • Central venous access.

      • ScvO₂ monitoring.

      • Cardiac-output monitoring.

  • Ventriculostomy

    • Ventriculostomy is the gold standard for ICP monitoring.

    • A catheter is inserted into a lateral ventricle and connected to a transducer.

    • Functions:

      • Measures ICP.

      • Allows CSF drainage.

    • Positioning

      • HOB approximately 30°.

      • Maintain neutral head/neck and body alignment.

      • Avoid neck flexion.

    • Proper positioning promotes cerebral venous drainage.

    • When ICP trends upward, assess the patient first.

      • Assess neurological status.

      • Check head/neck and body alignment.

      • Assess vital-sign trends.

      • Identify excessive stimulation.

  • ICP Management Targets

    • ICP: 5–15 mm Hg.

    • CPP: >60 mm Hg.

    • PaO₂: ≥100 mm Hg.

    • Systolic BP: 100–160 mm Hg.

    • Maintain adequate fluid balance.

    • Monitor for widening pulse pressure.

    • Maintain normothermia.

      • Slightly cooler temperatures may reduce cerebral metabolic demand.

  • Cerebral Oxygenation Monitoring

    • Licox

      • Measures brain-tissue oxygen pressure.

      • Target: 20–40 mm Hg.

    • SjvO₂

      • Reflects cerebral oxygen delivery/utilization.

      • Normal: 60–75%.

  • CSF Drainage

    • Ventriculostomy drainage may be:

      • Continuous.

      • Intermittent.

    • Drainage parameters are provider-prescribed.

    • Remove CSF slowly to reduce risk of ventricular collapse.

    • Monitor for:

      • Infection.

      • Herniation.

      • Neurological deterioration.

    • Maintain a closed drainage system.

  • Reducing Cerebral Metabolic Demand

    • Increased cerebral metabolism increases requirements for:

      • Oxygen.

      • Glucose.

    • Reduce:

      • Fever.

      • Agitation.

      • Excessive environmental stimulation.

      • Unnecessary movement.

      • Excessive visitors.

    • Sedation or paralysis may be required.

    • TRAP: Sedation and paralysis can mask clinical manifestations of neurological deterioration.

      • Direct ICP monitoring provides objective pressure information when the neurological examination is limited.

  • Mannitol (Osmitrol)

    • Osmotic diuretic.

    • Presented as the primary/gold-standard osmotic diuretic used to reduce cerebral edema in this lecture.

    • Pulls water from swollen brain tissue into the vascular compartment.

    • Fluid is then excreted through the kidneys.

    • Effective therapy requires adequate renal function.

  • Hypertonic Saline

    • Pulls water out of cells into the vascular compartment.

    • May be used with mannitol to decrease cerebral edema.

    • Monitor:

      • Electrolytes.

      • Fluid status.

      • Strict I&O.

      • Prescribed fluid restrictions.

      • Blood pressure.

    • Fluid removal must be balanced against maintaining adequate BP and CPP.

  • Corticosteroids

    • Dexamethasone may be considered for selected inflammatory causes of cerebral edema.

    • Whether corticosteroids are started depends on the clinical situation and provider treatment plan.

    • If used, therapy was discussed as generally beginning within the first 24 hours.

    • Monitor for:

      • Hyperglycemia.

      • Infection.

      • Peptic ulcer disease.

    • Protonix may be used for GI prophylaxis.

    • Prolonged acid suppression may contribute to:

      • Superinfection.

      • Diarrhea.

  • Antiseizure Therapy

    • Examples:

      • Phenytoin (Dilantin).

      • Phenobarbital.

      • Levetiracetam (Keppra).

    • Increased ICP places patients at heightened seizure risk.

    • During a seizure:

      • Protect the airway.

      • Protect the head and bony prominences.

      • Keep suction available.

      • Time the seizure.

    • Recurrent seizures → increased ICP → decreased cerebral blood flow/perfusion.

  • Fever Control

    • Fever increases cerebral metabolic demand.

    • Increased metabolic demand can worsen ICP.

    • Fever control is part of ICP management.

  • Nutrition

    • Begin nutritional support approximately 24–48 hours after injury.

    • Early feeding reduces catabolism associated with high metabolic demand.

    • Routes may include:

      • NG.

      • OG.

      • TPN.

    • NG/OG placement may be contraindicated with facial/skull trauma.

    • Monitor:

      • I&O.

      • Weight.

      • Protein/nutritional status.

      • Albumin.

      • Glucose.

      • Insulin requirements with TPN.

      • Infection.

      • Bowel sounds/gut motility.

  • IV Fluids

    • Normal saline is commonly used unless another solution is indicated.

    • NEVER DO: Avoid hypotonic solutions such as 0.45% saline during increased ICP because they promote fluid movement into tissue.

    • Lactated Ringer's was discussed as:

      • Closer to serum composition.

      • Potentially less acidifying than large amounts of normal saline.

  • Respiratory & Hemodynamic Support

    • Severe neurological injury may require:

      • Mechanical ventilation.

      • Oxygen therapy.

      • ABG monitoring.

      • Acid-base management.

    • Hemodynamic instability may require:

      • Fluid resuscitation.

      • Pressors.

      • Inotropes.

      • Fluid removal depending on condition.

  • Sedation & Analgesia

    • Examples:

      • Midazolam (Versed).

      • Fentanyl.

      • Propofol.

      • Dexmedetomidine (Precedex).

    • Sedation decreases:

      • Agitation.

      • Stimulation.

      • Metabolic demand.

    • Precedex was discussed as useful during ICP management.

    • Monitor Precedex for:

      • Hypotension.

      • Bradycardia.

    • TRAP: Medication-related hemodynamic changes must be distinguished from neurological deterioration.

  • Fluid & Endocrine Monitoring

    • Maintain strict I&O.

    • A urinary catheter may be required.

    • Urine output may be measured hourly.

    • Monitor pituitary/hypothalamic involvement for:

      • SIADH.

      • Diabetes insipidus.

  • Safety

    • Maintain seizure precautions.

    • Protect confused, agitated, or restless patients from injury.

    • Restraints may sometimes be required for safety.

    • During acute ICP management, restraints may increase agitation and ICP.

      • Sedation may be preferred when clinically appropriate.

KEY TAKEAWAYS

  • Normal ICP is 5–15 mm Hg; sustained ICP at or above 20 mm Hg indicates clinically significant increased ICP.

  • CPP = MAP − ICP.

  • MAP = [SBP + 2(DBP)] ÷ 3.

  • Normal CPP is 60–100 mm Hg, with a treatment target above 60 mm Hg.

  • Secondary brain injury is a major target of neurological treatment.

  • Change in LOC is one of the most sensitive and reliable indicators of neurological deterioration.

  • GCS ranges from 3–15; GCS at or below 8 requires anticipation of airway protection.

  • Cushing’s triad is systolic hypertension with widened pulse pressure, bradycardia, and irregular respirations.

  • Normal pulse pressure is approximately 40 mm Hg; pulse pressure at or above 60 mm Hg is widened.

  • Unilateral pupillary changes from compression occur ipsilateral to the affected side in the lecture framework.

  • Bilaterally fixed and dilated pupils are an ominous finding associated with herniation.

  • Ventriculostomy is the gold standard for direct ICP monitoring and can also drain CSF.

  • Maintain HOB at approximately 30° with neutral head and neck alignment.

  • When ICP rises, assess the patient first.

  • ICP management targets include PaO₂ at or above 100 mm Hg and systolic BP 100–160 mm Hg.

  • Licox brain-tissue oxygen target is 20–40 mm Hg.

  • SjvO₂ is normally 60–75%.

  • Mannitol is the primary/gold-standard osmotic diuretic discussed for reducing cerebral edema.

  • Mannitol requires adequate renal function for intended fluid removal.

  • Hypertonic saline moves water out of cells and into the vascular compartment.

  • Recurrent seizures increase ICP and decrease cerebral perfusion.

  • Fever and excessive stimulation increase cerebral metabolic demand and can worsen ICP.

  • Nutritional support is generally initiated within 24–48 hours after injury.

  • Avoid hypotonic fluids such as 0.45% saline during increased ICP.

  • Pituitary/hypothalamic compression requires monitoring for SIADH and diabetes insipidus.


TRAUMATIC BRAIN & HEAD INJURIES

  • Head Injury & TBI

    • Head injury may involve:

      • Scalp.

      • Skull.

      • Brain.

    • TBI is a more serious form involving brain injury.

    • Injury severity depends on:

      • Mechanism.

      • Severity.

      • Resulting intracranial injury.

    • A patient with concussion symptoms should be removed from activity and neurologically assessed.

    • TRAP: Do not dismiss a concussion as simply having one's “bell rung.”

  • TBI Severity

    • Brain-injury severity is classified using GCS.

    • Focus on:

      • What GCS assesses.

      • How the score is calculated.

      • How changes reflect neurological deterioration.

  • Skull Fractures

    • Types discussed:

      • Comminuted.

      • Compound.

      • Depressed.

      • Linear.

      • Simple.

    • TRAP: The exam focus is not diagnosing or defining individual skull-fracture types.

    • Focus on:

      • Location.

      • Assessment findings.

      • Neurological manifestations.

      • Complications.

  • Basilar/Skull-Fracture Findings

    • Raccoon eyes

      • Periorbital edema/ecchymosis.

    • Battle sign

      • Posterior/mastoid ecchymosis.

    • Otorrhea

      • CSF drainage from the ear.

    • Halo sign

      • Blood remains centrally located on gauze.

      • Clearer fluid separates outward around the blood.

      • Supports concern for CSF leakage.

    • CSF drainage may undergo laboratory testing.

    • Glucose testing can produce false-positive results.

    • A standard bedside glucometer is not used for this CSF glucose assessment.

    • NEVER DO: Avoid NG/OG placement when facial or basilar skull trauma makes the route unsafe.

  • Diffuse vs. Focal Injury

    • Diffuse

      • Generalized rather than localized.

      • Concussion is an example.

      • Severe diffuse injury may progress to DAI.

    • Focal

      • Localized to a specific area.

      • Contusion is an example.

  • Cerebral Contusion

    • Contusion = brain bruise.

    • Can contribute to:

      • Cerebral edema.

      • Increased ICP.

      • Intracranial bleeding.

  • Coup-Contrecoup Injury

    • Forward impact causes the frontal brain to strike the skull.

    • Rebound causes the posterior/occipital brain to strike the skull.

    • May cause:

      • Visual disturbances.

      • Blurred vision.

      • Dizziness.

      • Confusion.

      • Memory loss/amnesia.

    • Evaluate for:

      • Intracranial bleeding.

      • Increased ICP.

  • Diffuse Axonal Injury

    • DAI involves widespread damage to axonal nerve fibers.

    • Disrupts neuronal communication throughout the brain.

    • Patients may rapidly progress to:

      • Coma.

      • Death.

    • DAI carries high mortality.

    • Severe motor-vehicle trauma is a common mechanism discussed.

  • Chronic Traumatic Encephalopathy

    • Associated with repetitive head trauma and repeated concussions.

    • May cause chronic:

      • Agitation.

      • Memory loss.

      • Aggression.

      • Erratic behavior.

    • Definitive diagnosis occurs through autopsy after death.

    • CLINICAL GEM: Repeated head injuries can produce cumulative long-term neurological consequences even when individual injuries initially appear less severe.

  • Intracranial Hematomas

    • Epidural

      • Blood accumulates between the dura and inner skull.

      • Expanding blood compresses underlying brain tissue.

    • Subdural

      • Blood accumulates beneath the dura.

      • Expanding blood compresses brain structures.

    • Intracerebral

      • Bleeding occurs within brain tissue.

    • Expanding blood → brain compression → impaired cerebral perfusion → increased ICP → possible herniation.

  • Head-Injury Imaging

    • Rapid noncontrast CT head is the initial imaging emphasized when intracranial bleeding is suspected.

    • CT rapidly identifies:

      • Hemorrhage.

      • Mass effect.

    • MRI is more sensitive but less rapid for initial emergency evaluation.

    • CLINICAL GEM: A negative initial CT does not eliminate the possibility of an evolving intracranial bleed.

      • Continue serial:

        • LOC assessment.

        • Pupillary assessment.

        • Motor assessment.

        • GCS.

        • Vital-sign assessment.

  • Collaborative Management

    • Determine mechanism:

      • What happened?

      • Where was the impact?

      • Was an object involved?

    • Mechanism helps identify:

      • Primary injury.

      • Potential secondary injury.

    • Continue:

      • GCS.

      • Neurological assessment.

      • Physical assessment.

      • Vital signs.

      • Hemodynamic monitoring.

    • Treat:

      • Cerebral edema.

      • Increased ICP.

      • Impaired oxygenation.

    • Time is tissue.

    • Rapid deterioration may require operative intervention to:

      • Evacuate blood.

      • Decompress the brain.

  • Preoperative Management

    • Maintain prescribed NPO status.

    • Obtain baseline:

      • Vital signs.

      • Neurological status.

    • Ensure informed-consent requirements are addressed.

    • An unconscious or neurologically impaired patient may be unable to provide valid consent.

    • Emergency life-saving intervention may proceed through the appropriate emergency-consent process when delay threatens survival.

  • Neurosurgical Procedures

    • Burr hole

      • Creates an opening through the skull for drainage/decompression.

    • Craniectomy

      • Removes a portion/bone flap of the skull for decompression.

    • Craniotomy

      • Temporarily removes a bone flap for surgical access.

      • Bone flap is replaced.

    • Cranioplasty

      • Repairs/reconstructs the skull.

    • Shunt

      • Drains excess CSF.

      • May be used for hydrocephalus.

    • Stereotactic procedure

      • Additional neurosurgical approach discussed.

  • Postoperative Care

    • Protect the surgical/decompressed area.

    • Monitor for infection.

    • Continue neurological assessment.

    • Continue ICP monitoring when indicated.

    • Evaluate whether intervention reduced:

      • Swelling.

      • ICP.

      • Neurological deterioration.

    • Continue monitoring for secondary brain injury after surgery.

  • Long-Term Neurological Recovery

    • Recovery may require:

      • Rehabilitation.

      • Subacute care.

      • Short-term care.

      • Long-term residential care.

    • Interprofessional care may involve:

      • Nursing.

      • Case management.

      • Social work.

      • Rehabilitation.

      • Family/caregivers.

  • Bowel Management

    • Neurological injury and immobility can impair bowel function.

    • Routine care may include:

      • Stool softener.

      • Laxative.

    • TRAP: Stool softener alone does not adequately treat established constipation.

      • A laxative may be required.

      • Enema may be considered if constipation persists.

  • Bladder Management

    • Spastic bladder

      • Contracts but may not completely empty.

      • Residual urine increases UTI risk.

      • Antispasmodic therapy may help.

    • Flaccid bladder

      • Bladder muscle does not function effectively.

      • May require chronic bladder management/catheterization.

  • Swallowing

    • Neurological injury may impair swallowing.

    • Swallow evaluation is essential when dysphagia is suspected.

  • VTE Prevention

    • Immobility increases thromboembolic risk.

    • Pharmacological prophylaxis may include:

      • Enoxaparin.

      • Subcutaneous heparin.

  • Chronic Neurological Effects

    • Some patients develop chronic seizure disorders requiring long-term or lifelong antiseizure therapy.

    • Frontal-lobe injury may cause persistent:

      • Personality changes.

      • Mood changes.

      • Agitation.

      • Aggression.

      • Impaired judgment.

    • Psychological and emotional consequences may persist after physical stabilization.

    • Brain injury affects:

      • Patient.

      • Family/caregivers.

  • Social Determinants & Recovery

    • Recovery can be affected by:

      • Healthcare access.

      • Education.

      • Transportation.

      • Financial/resource limitations.

    • These factors influence access to:

      • Rehabilitation.

      • Medications.

      • Follow-up care.

      • Ongoing treatment.

KEY TAKEAWAYS

  • TBI severity is evaluated using the GCS and ongoing neurological assessment.

  • Concussions require assessment and should not be dismissed.

  • Raccoon eyes, Battle sign, and CSF otorrhea are concerning findings after skull trauma.

  • Avoid nasal tube placement when facial or basilar skull trauma makes the route unsafe.

  • Diffuse injury is generalized; focal injury affects a specific brain area.

  • Contusion is a focal brain bruise.

  • Coup-contrecoup injury involves primary and rebound impacts against the skull.

  • DAI causes widespread axonal injury and carries a high risk for coma and death.

  • Repetitive head trauma is associated with CTE; definitive diagnosis occurs through autopsy.

  • Epidural, subdural, and intracerebral hematomas can compress brain tissue and increase ICP.

  • Rapid noncontrast head CT is the initial imaging emphasized for suspected intracranial hemorrhage.

  • A negative initial CT does not eliminate the need for continued neurological assessment.

  • Head-injury management focuses on recognizing primary injury and preventing secondary injury.

  • Craniectomy removes a bone flap; craniotomy temporarily removes and replaces the bone flap.

  • A shunt drains excess CSF and may be used for hydrocephalus.

  • Swallow evaluation is essential when neurological injury causes suspected dysphagia.

  • Frontal-lobe injury can cause persistent personality and behavioral changes.

  • Long-term brain-injury management includes physical, psychological, family, social, and rehabilitation needs.


OTHER CAUSES OF INCREASED INTRACRANIAL PRESSURE

  • Brain Tumors

    • Intracranial tumors can cause:

      • Compression.

      • Increased ICP.

      • Neurological deficits.

    • Manifestations depend on the affected:

      • Brain lobe.

      • Cranial nerve.

      • Intracranial structure.

    • Neurological changes may initially be subtle.

    • CLINICAL GEM: A subtle new neurological or cranial-nerve deficit may be an early clue to a slowly developing intracranial tumor.

    • Tumors may be:

      • Benign.

      • Malignant.

    • The blood-brain barrier complicates delivery of some treatments to brain tissue.

    • Brain tumors can carry significant mortality.

  • Meningitis

    • Inflammation/infection of the meninges.

    • Causes include:

      • Bacterial.

      • Viral.

    • Identifying the underlying cause determines treatment.

    • May cause:

      • Nuchal rigidity.

      • Neurological changes.

      • Increased ICP.

      • SIRS/sepsis.

    • Management may require simultaneous treatment of:

      • Increased ICP.

      • Infection.

      • Systemic sepsis.

  • Encephalitis

    • Inflammation/swelling within brain tissue.

    • Causes discussed include:

      • Viral.

      • Bacterial.

    • Viral infection was emphasized.

    • West Nile virus

      • Mosquito-borne viral cause.

    • May produce:

      • Altered mental status.

      • Neurological deficits.

      • Increased ICP.

    • Severe disease may require:

      • Intubation.

      • Sedation.

      • Critical care.

    • Neurological deficits may persist after acute infection resolves.

      • Cognitive difficulties.

      • Word-finding difficulties.

  • Brain Abscess

    • Creates:

      • Localized compression.

      • Increased ICP.

    • Dental infection is an important potential source.

    • Include oral/dental assessment:

      • Inspect dentition and oral cavity.

      • Ask about tooth pain.

      • Identify possible dental abscess.

      • Ensure oral care.

    • Suspected dental infection should be reported because infection can spread and contribute to intracranial infection.

  • Lumbar Puncture for Infection

    • LP may obtain CSF when an infectious neurological process is suspected.

    • CSF is analyzed to identify the underlying infectious cause.

    • The primary purpose in this setting is diagnostic identification of infection, not simply removal of CSF.

KEY TAKEAWAYS

  • Brain tumors, meningitis, encephalitis, and brain abscesses can contribute to increased ICP.

  • Brain tumors may initially present with subtle neurological or cranial-nerve deficits.

  • The blood-brain barrier can complicate treatment of brain tumors.

  • Meningitis may require simultaneous management of increased ICP, infection, and sepsis.

  • Encephalitis can cause altered mental status, cerebral swelling, increased ICP, and persistent neurological deficits.

  • West Nile virus is a mosquito-borne cause of viral encephalitis discussed in the lecture.

  • Dental infection is an important potential source of brain abscess.

  • Oral and dental assessment can identify a potential source of intracranial infection.

  • Lumbar puncture can obtain CSF to identify the underlying cause of neurological infection.


CEREBROVASCULAR ACCIDENT & ACUTE STROKE MANAGEMENT

  • Stroke Recognition — BE FAST

    • BE FAST provides rapid recognition of stroke manifestations.

    • B — Balance

      • Assess for sudden loss of balance or coordination.

      • CLINICAL GEM: Balance disturbance may be an early stroke manifestation even when other findings remain subtle.

    • E — Eyes

      • Assess for sudden:

        • Visual changes.

        • Visual loss.

        • Eye-movement abnormalities.

    • F — Face

      • Assess for facial droop or asymmetry.

      • Ask the patient to smile.

    • A — Arms

      • Compare bilateral upper-extremity strength.

      • Assess for:

        • Weakness.

        • Asymmetry.

        • Arm drift.

        • Unequal hand grasps.

    • S — Speech

      • Assess:

        • Speech quality.

        • Ability to produce language.

        • Ability to understand language.

        • Appropriateness of responses.

    • T — Time

      • Determine symptom onset and last-known-well time.

      • Activate emergency stroke response immediately.

  • Focused Stroke Assessment

    • Assess:

      • Eye movement and tracking.

      • Pupillary response.

      • Facial symmetry.

      • Smile and mouth movement.

      • Tongue movement.

      • Bilateral upper- and lower-extremity strength.

      • Sensation.

      • Speech.

      • Language comprehension.

    • Any new focal neurological deficit requires rapid stroke evaluation.

  • Communication & Swallowing Deficits

    • Expressive aphasia

      • Difficulty producing meaningful language.

    • Receptive aphasia

      • Difficulty understanding language.

    • Dysarthria

      • Mechanical impairment of speech articulation.

    • Dysphagia

      • Difficulty swallowing.

      • Increases aspiration risk.

    • TRAP:

      • Aphasia → language-processing problem.

      • Dysarthria → articulation/mechanical speech problem.

      • Dysphagia → swallowing problem.

  • Generalized Hemisphere Patterns

    • Right-brain stroke

      • May cause:

        • Left-sided motor deficits.

        • Impulsivity.

        • Impaired judgment.

        • Impaired spatial awareness.

        • Depth-perception problems.

      • Impulsivity + impaired spatial awareness significantly increase fall and injury risk.

    • Left-brain stroke

      • May cause:

        • Right-sided motor deficits.

        • Aphasia.

        • Anxiety.

        • Depression.

    • TRAP: Hemisphere patterns are general patterns rather than absolute rules.

      • Evaluate the complete neurological presentation.

  • Acute Stroke Priorities

    • Time is tissue.

    • Rapid recognition and treatment are intended to:

      • Preserve cerebral perfusion.

      • Limit progression of cerebral injury.

      • Prevent secondary injury.

    • Immediate priorities include:

      • Establish last-known-well.

      • Perform focused neurological assessment.

      • Activate stroke response.

      • Obtain rapid diagnostic imaging.

      • Determine whether the stroke is ischemic or hemorrhagic.

  • Last-Known-Well

    • Determine last-known-well time as early as possible.

    • Reperfusion-treatment eligibility depends on the neurological timeline.

    • TRAP: Do not use hospital-arrival time as a substitute for last-known-well.

    • Communicate last-known-well during:

      • EMS handoff.

      • Stroke-alert activation.

      • Treatment evaluation.

  • Prehospital & Initial Stroke Management

    • Obtain:

      • Blood glucose.

      • Baseline ECG.

      • Relevant medical history.

      • Medication history.

      • Cardiovascular history.

      • Last-known-well.

      • Accurate weight.

    • Establish IV access.

      • Preferably two working IVs.

    • Continue:

      • Airway assessment.

      • Neurological assessment.

      • Cardiac monitoring.

    • Notify the receiving hospital before arrival to facilitate stroke-team preparation.

    • Avoid delaying definitive stroke evaluation for lower-priority testing.

  • Blood Glucose

    • Obtain during initial stroke evaluation.

    • Glucose abnormalities can:

      • Accompany neurological illness.

      • Complicate the neurological presentation.

    • TRAP: An isolated glucose value does not establish long-term diabetic control.

      • Hemoglobin A1C evaluates longer-term glucose control.

  • Atrial Fibrillation

    • Important risk factor for embolic ischemic stroke.

    • A thrombus may form and travel into cerebral circulation.

    • Continue cardiac monitoring.

    • TRAP: Atrial fibrillation increases concern for an embolic source but does not independently prove the stroke mechanism.

  • Stroke Alert — Interdisciplinary Care

    • Acute stroke management requires rapid coordination among:

      • Emergency provider.

      • RN/stroke nurse.

      • Neurology.

      • Pharmacy.

      • Charge nurse.

      • Technician.

      • CT/radiology.

      • Laboratory.

      • Cardiology when indicated.

    • RN responsibilities include:

      • Ongoing assessment.

      • Immediate nursing care.

      • Preparing ordered treatment.

      • Administering treatment within RN scope.

      • Monitoring response.

    • RN does not independently determine eligibility for:

      • Fibrinolytic therapy.

      • Mechanical thrombectomy.

  • Immediate Noncontrast CT

    • Obtain a noncontrast head CT within 20 minutes.

    • CT interpretation should occur within 45 minutes.

    • Primary immediate purpose:

      • Rule out intracranial hemorrhage.

    • TRAP: Initial noncontrast CT does not necessarily definitively identify every ischemic stroke.

    • NEVER DO: Do not administer fibrinolytic therapy when intracranial hemorrhage is present.

    • CLINICAL GEM: Ischemic and hemorrhagic stroke may initially produce similar neurological deficits, but their treatment pathways differ.

    • CLINICAL GEM: The immediate CT question is whether bleeding is present because hemorrhage changes the treatment pathway.

  • Initial Laboratory & Cardiovascular Evaluation

    • Relevant studies may include:

      • Troponin.

      • Coagulation studies.

      • Platelet count.

    • Chest X-ray may also be obtained.

    • Obtain baseline ECG.

    • Continue cardiovascular and neurological reassessment.

  • NIH Stroke Scale

    • NIHSS = National Institutes of Health Stroke Scale.

    • Objectively evaluates stroke-related neurological deficits.

    • Higher NIHSS score = greater neurological impairment.

    • Serial NIHSS assessments compare current status with baseline.

      • Improving score/findings → neurological improvement.

      • Persistent/worsening findings → continued impairment or deterioration.

    • Stroke assessment may identify:

      • Altered orientation.

      • Gaze deviation.

      • Visual-field loss.

      • Facial weakness.

      • Unilateral arm/leg weakness.

      • Sensory loss.

      • Aphasia.

      • Dysarthria.

      • Neglect.

    • CLINICAL GEM: The NIHSS establishes a standardized neurological baseline that can be trended over time.

    • CLINICAL GEM: Weakness that prevents coordination testing should not automatically be classified as ataxia.

      • Ataxia is identified when it is out of proportion to the patient's weakness.

    • Students are not expected to memorize the entire scoring table.

    • NIHSS uses standardized criteria.

    • TRAP: Do not score based on a general impression of how impaired the patient appears.

    • Assessment requires appropriate training.

    • Student nurses may participate with appropriate RN supervision.

    • Trend the individual neurological findings as well as the total score.

  • Stroke Risk-Factor Assessment

    • Assess:

      • Past medical history.

      • Allergies.

      • Medication history.

      • Medication adherence.

      • Access to medications.

      • Primary-care follow-up.

      • Cardiology follow-up.

    • Determine whether the patient takes anticoagulants because anticoagulation affects bleeding risk and acute treatment decisions.

  • Stroke Risk Factors

    • Nonmodifiable

      • Age.

      • Gender.

      • Ethnicity/race.

      • Family history.

      • Hereditary background.

    • Modifiable

      • Hypertension.

      • Previous TIA.

      • Atrial fibrillation.

      • Heart disease.

      • Diabetes.

      • Smoking.

      • Obesity.

      • Sleep apnea.

      • Metabolic syndrome.

      • Physical inactivity.

      • Diet.

      • Alcohol/substance use.

    • Hypertension is a major modifiable stroke risk factor.

  • Familial Hyperlipidemia

    • May have:

      • Heterozygous form.

      • Homozygous form.

    • Severe inherited hyperlipidemia can contribute to cardiovascular events at a young age.

    • Monitor:

      • Cholesterol.

      • Medication therapy.

      • Liver enzymes as indicated.

  • Social Determinants & Stroke Risk

    • TRAP: Do not assume poor disease control means the patient simply does not want to care for themselves.

    • Assess barriers involving:

      • Medication access.

      • Nutrition.

      • Transportation.

      • Follow-up care.

      • Financial resources.

      • Long-term risk-factor management.

    • Discharge planning must be realistic for the patient's circumstances.

  • Transient Ischemic Attack

    • TIA = transient ischemic attack.

    • Temporary neurological dysfunction.

    • Warning sign/risk factor for stroke.

    • Symptoms generally last <1 hour in this lecture.

    • TIA symptoms require medical evaluation even when they resolve.

    • TRAP: Resolution of symptoms does not mean the event should be ignored.

  • Major Stroke Categories

    • Ischemic

      • Inadequate cerebral blood flow caused by vascular occlusion.

      • Includes:

        • Thrombotic.

        • Embolic.

        • Cryptogenic.

    • Hemorrhagic

      • Bleeding into or around brain tissue.

      • Includes:

        • Intracerebral hemorrhage.

        • Subarachnoid hemorrhage.

    • Stroke type must be identified because treatment differs significantly.

    • NEVER DO: Do not begin fibrinolytic treatment until intracranial hemorrhage has been excluded.

  • Thrombotic Ischemic Stroke

    • Clot develops locally within the diseased vessel.

    • Vessel-wall disease/atherosclerotic plaque → local clot formation → narrowing/occlusion → decreased cerebral blood flow.

    • Associated risks include:

      • Diabetes.

      • Hypertension.

      • Atherosclerotic disease.

    • Ischemic stroke is the most common overall stroke category.

  • Embolic Ischemic Stroke

    • Embolic material originates elsewhere and travels until it obstructs a cerebral vessel.

    • Embolic material may include:

      • Blood clot.

      • Calcification.

      • Fat.

      • Air.

    • Associated conditions include:

      • Atrial fibrillation.

      • Endocarditis.

      • Rheumatic heart disease.

      • Valvular prosthesis.

      • Atrial septal defects.

    • CLINICAL GEM:

      • Thrombotic = forms there.

      • Embolic = travels there.

    • TRAP: An embolus can still be a blood clot.

      • The differentiator is where it formed and whether it traveled.

  • Cryptogenic Stroke

    • Stroke with no clearly identified source.

    • An embolic mechanism may be suspected even when the original source cannot be identified.

  • Cardiac Evaluation for Embolic Source

    • May include:

      • Echocardiogram.

      • ECG/cardiac monitoring.

      • Evaluation for atrial fibrillation.

      • Evaluation for PFO.

    • Bubble study

      • May identify an abnormal intracardiac opening such as a PFO.

    • PFO may permit a clot to enter arterial circulation and contribute to embolic stroke.

  • Intracerebral Hemorrhage

    • Cerebral vessel ruptures and bleeds directly into brain tissue.

    • Hypertension is a major cause discussed.

    • Blood-pressure control is a major treatment priority.

    • Basal ganglia was discussed as a common location.

    • Pattern may include:

      • Sudden onset.

      • Progressive worsening over minutes to hours.

      • Severe headache.

      • Nausea.

      • Vomiting.

    • Severe headache followed by nausea/vomiting is an important hemorrhagic-stroke pattern.

    • Expanding bleeding can cause:

      • Increased ICP.

      • Neurological deterioration.

  • Subarachnoid Hemorrhage & Aneurysm

    • Bleeding occurs into the space surrounding the brain.

    • Commonly associated with cerebral aneurysm rupture.

    • Aneurysms commonly develop within major cerebral vessels, including the Circle of Willis region.

    • Patients may have no warning symptoms before rupture.

    • Rupture can produce sudden catastrophic deterioration.

    • Family history of aneurysm is important.

  • Additional Stroke Imaging

    • MRI

      • May be obtained approximately 24–48 hours later.

      • More sensitive for further evaluation of cerebral injury.

      • Movement and claustrophobia may interfere with completion.

    • CTA

      • Evaluates cerebral vascular structures.

      • Requires contrast-related considerations.

    • Carotid duplex

      • Evaluates carotid arteries for abnormalities contributing to stroke risk.

  • Diagnostic-Test Safety

    • Before MRI:

      • Complete MRI safety screening.

      • Identify implanted/external devices.

      • Determine MRI compatibility.

      • Determine whether essential equipment can safely be removed.

    • Before contrast:

      • Assess kidney function.

      • Assess contrast tolerance.

      • Review medication history.

    • Metformin therapy requires consideration when contrast studies are planned.

    • Do not assume a patient is MRI-ready simply because the study has been ordered.

  • Acute Ischemic Stroke — Blood Pressure

    • Acute hypertension may represent cerebral autoregulation attempting to preserve perfusion.

    • Lower BP carefully.

    • NEVER DO: Do not rapidly or drastically decrease BP in acute ischemic stroke.

      • Excessive reduction can decrease cerebral perfusion and worsen ischemia.

    • Permissive hypertension

      • Elevated pressure may intentionally be tolerated to preserve cerebral perfusion.

    • TRAP: Do not automatically normalize every elevated BP in ischemic stroke.

  • BP Goals

    • Ischemic stroke receiving fibrinolytic therapy

      • BP must be <185/110 mm Hg before treatment.

    • Ischemic stroke not receiving fibrinolytic therapy

      • BP may be maintained <220/120 mm Hg.

    • Intracerebral hemorrhage

      • Target SBP <140 mm Hg.

      • Approximately 130–140 mm Hg was discussed as the desired range.

    • CLINICAL GEM:

      • Ischemic stroke → preserve cerebral perfusion while remaining within treatment parameters.

      • Intracerebral hemorrhage → tighter BP control to reduce continued bleeding.

  • Acute Stroke Antihypertensives

    • Labetalol

      • Adrenergic blocker/nonselective beta blocker.

      • Decreases BP through reduced cardiac output and vasodilation.

      • Monitor:

        • BP.

        • HR.

      • TRAP: Nonselective beta blockade creates concern with asthma/COPD.

    • Nicardipine

      • Continuous titratable IV infusion.

      • Requires close hemodynamic monitoring.

    • Clevidipine

      • Additional IV antihypertensive option.

    • Hydralazine

      • Vasodilator.

      • Monitor for excessive BP reduction.

    • Enalapril

      • ACE inhibitor.

  • Fibrinolytic Therapy

    • Fibrinolytics actively break down an existing clot.

    • Door-to-needle goal: <60 minutes.

    • Extended treatment window: 4.5 hours.

    • Treatment within 3 hours is preferred when possible.

    • CLINICAL GEM: “4.5 is great, but 3 is better.”

    • Last-known-well is critical for eligibility.

    • Provider determines whether treatment criteria are met.

    • RN responsibilities:

      • Preparation.

      • Administration after order.

      • Monitoring.

      • Recognition of complications.

  • Fibrinolytic Screening

    • Fibrinolytic therapy requires screening for bleeding risk and contraindications before administration.

    • Screening considerations include:

      • Coagulation abnormalities.

      • Recent GI bleeding.

      • Recent stroke or head trauma.

      • Recent major surgery.

      • Recent active internal bleeding.

    • Stroke or head trauma within the previous 3 months is a screening consideration.

    • Major surgery within the previous 14 days is a screening consideration.

    • Recent active internal bleeding within the previous 22 days is a screening consideration.

  • Extended 3–4.5-Hour Window Considerations

    • The 3–4.5-hour treatment window requires additional patient-specific screening.

    • Additional considerations discussed include:

      • Advanced age.

      • Oral anticoagulant use.

      • Previous ischemic stroke combined with diabetes.

      • High baseline NIHSS.

    • LECTURE INCONSISTENCY

      • Version A:

        • Verbal lecture referenced a high NIHSS threshold of >5.

      • Version B:

        • Course slide referenced NIHSS >25.

  • Fibrinolytic vs. Anticoagulant

    • Fibrinolytic

      • Breaks down an existing thrombus.

    • Anticoagulant

      • Helps prevent additional clot formation/propagation.

      • Heparin was discussed as an example.

    • TRAP: Fibrinolytics and anticoagulants are not the same therapy.

    • TRAP: Anticoagulation used for long-term stroke prevention is not the same as acute fibrinolytic reperfusion therapy.

  • Accurate Weight

    • Fibrinolytic dosing is weight-based.

    • Obtain an accurate weight immediately.

    • Standing weight is preferred when safely possible.

    • If using a bed scale:

      • Zero the bed correctly.

    • TRAP: An inaccurate weight can produce an inaccurate fibrinolytic dose.

  • Alteplase

    • Also referred to as rtPA.

    • Dose: 0.9 mg/kg.

    • Maximum: 90 mg.

    • 10% of total dose over the first 1 minute.

    • Remaining 90% infused over 60 minutes.

    • NEVER DO: Do not administer the remaining alteplase dose as a rapid IV push.

    • Worked application

      • 86.4 kg × 0.9 mg/kg = 77.76 mg total.

      • 10% = approximately 7.78 mg over the first minute.

      • Remaining dose = approximately 69.98 mg over 60 minutes.

    • CLINICAL GEM: The case calculation demonstrates application of the dosing formula; the formula, maximum dose, 10% bolus, and 60-minute infusion are the information to retain.

  • Tenecteplase

    • Also referred to as TNK/TNKase.

    • Acute-stroke dose taught: 0.25 mg/kg IV.

    • Maximum: 25 mg.

    • Administered rapidly rather than through the prolonged alteplase infusion.

    • Worked application

      • 86.4 kg × 0.25 mg/kg = 21.6 mg.

    • TRAP:

      • Alteplase → 10% bolus + remaining dose by infusion.

      • Tenecteplase → rapid IV administration.

  • Fibrinolytic Medication Safety

    • Requires an independent two-RN double-check.

    • Verify:

      • Patient.

      • Weight.

      • Dose calculation.

      • Reconstitution.

      • Preparation.

      • Administration.

      • Pump settings when applicable.

    • CLINICAL GEM: Accurate weight + accurate calculation + independent verification are major fibrinolytic safety anchors.

  • Mechanical Thrombectomy

    • May be considered for eligible large-vessel occlusion.

    • May be considered within a 24-hour window.

    • Last-known-well remains important.

    • RN does not determine eligibility.

    • Nursing responsibilities include:

      • Preparing for procedure/transport.

      • Preprocedure management.

      • Postprocedure neurocritical care.

  • Post-Fibrinolytic Monitoring

    • Continue frequent neurological reassessment.

    • Compare findings with established baseline.

    • Monitor for:

      • Improvement.

      • Persistent deficits.

      • Neurological deterioration.

      • Bleeding.

      • New/worsening severe headache.

    • Continue frequent BP monitoring and BP control during and after fibrinolytic administration.

    • New neurological deterioration or severe headache after fibrinolysis requires immediate evaluation for intracranial hemorrhage.

    • Obtain as indicated:

      • STAT CT.

      • STAT coagulation studies.

      • STAT fibrinogen.

      • STAT CBC.

      • Type and crossmatch.

    • Blood products/cryoprecipitate may be required when bleeding occurs.

    • CLINICAL GEM: A negative initial CT does not protect the patient from developing intracranial hemorrhage after treatment.

    • Apply increased-ICP assessment principles when neurological deterioration occurs.

  • Serial Reassessment

    • Compare every neurological assessment with baseline.

    • Determine:

      • Improvement.

      • Persistence.

      • Deterioration.

    • Depending on acuity, reassessment may occur minute by minute.

    • Continually:

      • Assess.

      • Identify the problem.

      • Intervene.

      • Evaluate response.

      • Reassess.

    • Document neurological findings and changes.

    • CLINICAL GEM: Improvement in vital signs does not establish neurological improvement when focal neurological deficits remain unchanged.

  • Whole-Patient Stabilization

    • TRAP: Do not focus on neurological findings while ignoring other physiological systems.

    • Maintain:

      • Hemodynamic stability.

      • Cerebral perfusion.

      • Oxygenation.

      • Homeostasis.

      • Acid-base balance.

  • Swallow & Aspiration Safety

    • Swallow evaluation is a primary safety assessment after stroke.

    • Primary concern = aspiration.

    • Establishes the swallowing baseline.

    • May need repetition as neurological status changes.

    • Speech-language pathology may perform formal evaluation.

    • A trained RN may perform a facility-approved bedside swallow screen.

    • Coughing after swallowing is concerning.

    • A wet cough after swallowing suggests impaired swallowing/aspiration.

    • TRAP: Being awake and able to communicate does not prove swallowing is safe.

    • Keep the patient NPO until the swallow evaluation is passed.

    • CLINICAL GEM: Neurological function can improve; an initial swallowing deficit is not necessarily permanent.

  • Modified Barium Swallow

    • Evaluates:

      • Swallowing mechanics.

      • Aspiration.

    • Contrast-containing material is swallowed while imaging evaluates movement.

  • Post-Stroke Nutrition

    • Nutritional support is important during the first 24–48 hours.

    • If gag/swallow function does not return:

      • Enteral feeding may be required.

      • Feeding tube may be necessary during recovery.

    • Goals:

      • Adequate nutrition.

      • Aspiration prevention.

  • Visual Dysfunction

    • Assess:

      • Pupillary response.

      • Eye movement.

      • Tracking.

      • Visual fields.

    • Homonymous hemianopia

      • Loss of the same visual field involving both eyes.

    • Immediate safety:

      • Initially approach from the side the patient can see.

    • Rehabilitation:

      • Teach intentional head turning.

      • Teach scanning toward the affected visual field.

  • Neglect & Spatial-Perceptual Dysfunction

    • Patient may:

      • Ignore the affected side.

      • Misinterpret surroundings.

      • Misjudge depth/distance.

    • Spatial-perceptual deficits increase fall risk.

  • Communication Support

    • Determine whether impairment involves:

      • Language production.

      • Language comprehension.

      • Mechanical articulation.

    • Adapt communication to the deficit.

    • Verify patient/family understanding.

  • Fall & Bleeding Safety

    • Stroke patients with sensory-perceptual deficits are high fall risk.

    • Bleeding consequences are greater when receiving:

      • Anticoagulants.

      • Antiplatelets.

      • Fibrinolytics.

    • NEVER DO: Allow a high-risk post-stroke patient receiving bleeding-risk medication to ambulate without appropriate safety precautions.

    • Prevent head injury because a fall can cause serious intracranial bleeding.

  • Critical Post-Stroke Period

    • First 12–24 hours are particularly critical.

    • Goals:

      • Prevent progression.

      • Recognize deterioration.

      • Prevent secondary complications.

    • Requires frequent:

      • Neurological assessment.

      • Hemodynamic monitoring.

  • Previous Stroke & Baseline

    • Determine:

      • When previous stroke occurred.

      • Which deficits remained.

    • TRAP: Do not automatically interpret a chronic neurological deficit as a new stroke finding.

    • Compare current findings with established baseline.

  • Secondary Stroke Prevention

    • May include:

      • Anticoagulants.

      • Antiplatelets.

      • Antihypertensives.

      • Lipid-lowering medications.

    • Before discharge, verify that appropriate secondary-prevention medications have been addressed.

    • If an expected medication is absent:

      • Determine whether a contraindication exists.

      • Communicate with the provider.

    • Medication education includes:

      • Purpose.

      • Expected effect.

      • Adverse effects.

    • TRAP: Medication adverse effects may contribute to nonadherence.

      • Assess the reason for nonadherence rather than assuming unwillingness.

  • Anticoagulation & Antiplatelet Therapy

    • Anticoagulation may be prescribed for secondary prevention when indicated.

    • Warfarin regimens may involve different doses on different days.

      • Complex regimens require clear education.

    • Alternatives discussed:

      • Dabigatran.

      • Apixaban.

    • Antiplatelet examples:

      • Aspirin.

      • Clopidogrel.

    • Appropriate antithrombotic therapy should be addressed before discharge unless contraindicated.

  • Procedural Secondary Prevention

    • Left atrial appendage intervention

      • May reduce thromboembolic risk when the appendage is the source.

    • PFO closure

      • May be considered when an abnormal intracardiac opening contributes to embolic risk.

    • Carotid endarterectomy

      • Removes carotid plaque.

    • Angioplasty

      • Balloon dilation improves flow through a narrowed vessel.

    • Stenting

      • Supports the vessel and maintains patency.

    • Secondary prevention should address the mechanism responsible for the stroke whenever possible.

  • Hemorrhagic Stroke Procedures

    • Surgical treatment depends on:

      • Location.

      • Severity.

      • Surgical accessibility.

    • May include evacuation of:

      • Hematoma.

      • Aneurysm-related bleeding.

    • Some lesions may not be surgically accessible.

    • IV seizure prophylaxis may be used.

  • Aneurysm Clipping & Coiling

    • Clipping

      • Clip isolates the aneurysm to prevent continued/recurrent bleeding.

    • Coiling

      • Coil is placed within the aneurysm to stop blood flow into it.

    • Nursing care includes:

      • Preprocedure management.

      • Postprocedure management.

      • Neurological monitoring.

      • Monitoring for complications.

    • Previous aneurysm clipping/device must be identified during MRI screening and compatibility verified.

  • Stroke Core Measures

    • Major care areas discussed:

      • VTE prophylaxis.

      • Antithrombotic therapy.

      • Anticoagulation with atrial fibrillation/flutter.

      • Thrombolytic therapy when indicated.

      • Statin therapy.

      • Stroke education.

      • Rehabilitation assessment.

    • Identify missing elements of expected care and advocate for the patient.

  • Nutrition & Risk-Factor Management

    • Interdisciplinary resources may include:

      • Diabetes educator.

      • Dietitian/nutritionist.

      • Cardiac rehabilitation nurse.

    • Assess normal dietary patterns before recommending changes.

    • Teaching should involve realistic changes the patient can maintain.

    • Goals include:

      • Lipid management.

      • Cardiovascular risk reduction.

      • Diabetes management.

  • Warfarin & Nutrition

    • TRAP: Do not teach patients taking warfarin to completely eliminate vitamin K-containing foods.

    • Emphasize:

      • Moderation.

      • Consistency.

      • Matching medication management with realistic dietary patterns.

    • Dramatic dietary changes can destabilize anticoagulation.

  • Culturally Appropriate Nutrition

    • Do not simply tell patients to eliminate traditional foods.

    • Recommendations should fit:

      • Culture.

      • Lifestyle.

      • Normal dietary practices.

    • Teach realistic modifications and nutrition-label reading.

    • CLINICAL GEM: A theoretically ideal diet is ineffective if the patient cannot realistically follow it.

  • Patient Self-Management

    • Teach patients to evaluate whether treatment is working.

    • Home monitoring may include:

      • BP.

      • HR.

    • Patient journals can document trends for follow-up visits.

    • If monitoring equipment is inaccessible:

      • Identify the barrier.

      • Communicate the need.

      • Explore resources.

    • Successful discharge requires realistic tools for safe self-management.

  • Rehabilitation

    • Focuses on recovering:

      • Strength.

      • Mobility.

      • Communication.

      • Functional independence.

    • Specialized rehabilitation may be required for aphasia or other persistent deficits.

    • Connect patients with:

      • Stroke survivorship resources.

      • Community networks.

      • Rehabilitation services.

  • Discharge & Post-Acute Care

    • Discharge planning includes:

      • Durable medical equipment.

      • Functional limitations.

      • Barriers to discharge.

      • Appropriate post-acute level of care.

    • Short-term rehabilitation may be appropriate when:

      • Skilled care remains necessary.

      • Acute hospital-level care is no longer required.

    • Placement should match the patient's functional and rehabilitation needs.

  • Psychological, Family & Community Recovery

    • Stroke recovery includes psychological care for:

      • Patient.

      • Family.

    • Communication deficits may interfere with education.

      • Adapt teaching.

      • Verify understanding.

    • Sexual function/dysfunction should be assessed during recovery.

      • Medication-related sexual dysfunction may contribute to nonadherence.

    • Long-term goals include:

      • Rehabilitation.

      • Functional recovery.

      • Self-management.

      • Community reintegration.

      • Prevention of recurrent stroke.

KEY TAKEAWAYS

  • BE FAST assesses balance, eyes, face, arms, speech, and time.

  • Aphasia is a language deficit; dysarthria is an articulation deficit; dysphagia is a swallowing deficit.

  • Right-brain stroke may produce left-sided weakness, impulsivity, and spatial-perceptual deficits; left-brain stroke may produce right-sided weakness and aphasia.

  • Time is tissue in suspected stroke.

  • Last-known-well time is essential for reperfusion-treatment decisions.

  • Initial stroke evaluation includes neurological assessment, glucose, ECG, medication history, cardiovascular history, accurate weight, and IV access.

  • Atrial fibrillation is an important risk factor for embolic ischemic stroke.

  • Obtain noncontrast head CT within 20 minutes with interpretation within 45 minutes.

  • The immediate purpose of noncontrast CT is to rule out intracranial hemorrhage.

  • Never administer fibrinolytic therapy when intracranial hemorrhage is present.

  • NIHSS provides a standardized neurological baseline and should be trended over time.

  • Thrombotic stroke forms locally; embolic material travels from another location.

  • TIA symptoms generally last less than 1 hour and still require evaluation.

  • BP must be below 185/110 mm Hg before fibrinolytic therapy.

  • Ischemic stroke without fibrinolytic therapy may allow BP below 220/120 mm Hg.

  • Intracerebral hemorrhage requires tighter systolic BP control below 140 mm Hg.

  • Avoid drastic BP reduction during acute ischemic stroke because cerebral perfusion can decrease.

  • Door-to-needle time for fibrinolytic therapy should be less than 60 minutes.

  • The fibrinolytic treatment window may extend to 4.5 hours, with treatment within 3 hours preferred.

  • Additional 3–4.5-hour screening considerations include advanced age, oral anticoagulant use, previous ischemic stroke with diabetes, and high baseline NIHSS.

  • Alteplase is dosed at 0.9 mg/kg to a maximum of 90 mg.

  • Alteplase is administered as a 10% bolus over 1 minute followed by the remaining 90% over 60 minutes.

  • Tenecteplase is dosed at 0.25 mg/kg to a maximum of 25 mg in the acute-stroke dosing taught.

  • Fibrinolytic preparation and administration require an independent two-RN safety check.

  • Mechanical thrombectomy may be considered for eligible large-vessel occlusion within a 24-hour window.

  • New neurological deterioration or severe headache after fibrinolysis requires immediate evaluation for intracranial hemorrhage.

  • Swallow evaluation is a major post-stroke safety priority because of aspiration risk.

  • Keep the patient NPO until swallowing safety has been established.

  • A wet cough after swallowing is concerning for aspiration.

  • Homonymous hemianopia and neglect require immediate safety adaptations and rehabilitation strategies.

  • The first 12–24 hours after stroke are particularly critical for recognizing progression and deterioration.

  • Previous neurological deficits must be established as baseline so chronic findings are not mistaken for new deterioration.

  • Secondary stroke prevention should address the underlying mechanism and modifiable risk factors.

  • Warfarin teaching emphasizes consistent rather than complete elimination of vitamin K-containing foods.

  • Stroke recovery continues through acute care, rehabilitation, secondary prevention, self-management, and community reintegration.