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DALLAS, March 11, 2021 As integral members of stroke treatment teams, nurses coordinate patient assessment and collaborate care among multiple health care professionals to facilitate the best possible outcomes for patients with acute ischemic stroke. Nurses also advocate for patients and their caregivers to ensure they receive appropriate information and education to successfully navigate phases of treatment in the hospital and after discharge. A series of three new Scientific Statements, Care of the Patient With Acute Ischemic Stroke, from the American Heart Association, published today in Stroke, a journal of the American Stroke Association, a division of the American Heart Association, provide the latest evidence-based guidance for nurses working in a variety of stroke care settings, including hyperacute settings, emergency departments, intensive care units and stroke care units.
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A 48-year-old man presents to a medical center in New York City after suddenly developing numbness in his upper left arm, along with weakness, and impairment of positional sensation. He says that for the past 8 hours, he has had severe headaches on the right side of his skull in the back, for which he took ibuprofen. He is right-handed and a nonsmoker.
He notes that he had been diagnosed with SARS-CoV-2 infection about a month earlier, when he went to the same medical center after feeling generally unwell, with fever, low-back pain, and right-sided headache.
At that time, clinicians confirmed COVID-19 via PCR testing. He reports that his symptoms lasted for 12 days, during which he remained quarantined at home, and on day 17, he returned to work.
At 15:03 on an otherwise-normal afternoon in 2014, an 85-year-old male developed a sudden onset of right-sided weakness. Upon witnessing his symptoms, a family member called emergency medical services at 15:08. At 15:13 EMS arrived.
The crew’s initial exam demonstrated an alert and oriented 100-kg geriatric male with marked weakness of his right arm and leg. His past medical history included coronary artery disease, chronic obstructive pulmonary disease, deep vein thrombosis status post-IVC filter, hypertension, and chronic atrial fibrillation. As scene time progressed, the patient became progressively aphasic and altered, with a final Cincinnati Stroke Scale score of 2 for arm drift and slurred speech.