Stroke and tPA: The way and speed in which you present is life or death
This is of great importance. Realizing the signs and symptoms of a stroke can make the difference between life an death and between resolving symptoms and forever disabilities.
tPA is only administered if the symptoms are within a 3 hour window at most ER’s. What happens if you present saying your symptoms started yesterday? Well, first of all you are not fast tracked and wait as a stage or grade 2 patient. Next, you are not eligible to receive any clot busting type medications.
Aldo of importance, how you arrive at the hospital. Yes, believe it or not it does make a difference. If you are having signs or symptoms of a stroke you need to call 911 right away. An ambulance will assure you fast and prompt treatment as well as quicker service on the receiving end. I am a nurse and I can say this with 100% conviction!
Researchers analyzed data on 15,117 patients from 46 hospitals enrolled in the North Carolina Stroke Registry (NCCSR) from January 2005 to April 2008. The majority were ages 45 or older; 54 percent were women; 53 percent of patients arrived by Emergency Medical Service (EMS); and 38 percent received care at hospitals designated as stroke centers. Only 23 percent of all NCCSR patients arrived at the hospital within two hours of symptom onset and were thus suitable for evaluation to receive tPA. Current National Institute of Neurological Disorders and Stroke (NINDS) guidelines recommend that a patient receive a computer tomography (CT) scan within 25 minutes of hospital arrival. In an analysis of 3,549 patients who arrived at the hospital within two hours of symptoms onset, only 23.6 percent received a CT scan within 25 minutes. Among this group, researchers found that those who arrived by ambulance were more than twice as likely to receive a timely CT scan than were those who “walked in” on their own.
What are the signs and symptoms of a stroke:
- Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
- Sudden confusion, trouble speaking or understanding
- Sudden trouble seeing in one or both eyes
- Sudden trouble walking, dizziness, loss of balance or coordination
- Sudden, severe headache with no known cause
via AHA
Tags: arteries, blood vessels, ct scan, head, heart-disease, mri, skull, stroke, time and death, tPARelated Stories
POSTED IN: Hearty Healthcare
0 opinions for Stroke and tPA: The way and speed in which you present is life or death
No one has left a comment yet. You know what this means, right? You could be first!
Have an opinion? Leave a comment: