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Perform nihss and get non-contrast head


Problem:

Rapid stroke pathway with NIHSS, imaging, and therapy selection. Perform NIHSS and get non-contrast head CT +/- CTA right away. For IV alteplase precautions should be taken. Recent major surgery (≤14 days) is a contraindication tPA should not be administered without stroke-team approval (Hassan et al., 2021). In case of large-vessel occlusions of up to 6-24 hours since the last-known-well by perfusion/selection criteria, he should undergo mechanical thrombectomy. 2: Blood pressure and hyper perfusion monitoring during the post-CEA. Strict BP control according to surgical or neurology prescriptions. Watch out cerebral hyper perfusion syndrome symptoms such as worsening headache, seizure, focal deficits after CEA (Opaskar et al., 2024). Implement changes with the help of SBAR and record interventions and responses such as IV antihypertensives, neuro checks frequency. (Opaskar et al., 2024). Need Assignment Help?

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