Specialty
Stroke, NIHSS, thrombolytics, and neuro assessment.
Three different blood pressure targets apply in the first 24 hours after a stroke, and which one you're working to depends entirely on the type of stroke and whether thrombolytics were given. Here's how to keep them straight at the bedside.
A neuro check is only as good as the record it leaves. How to chart level of consciousness, pupils, motor, speech, and vitals so the trend is obvious, the change is caught, and the documentation holds up — with the specific phrasing that beats 'neuro checks stable.'
A realistic, phase-by-phase guide to your first three months on a stroke or neuro unit — what to master first, what can wait, and how to build the assessment instincts that make the rest click. Written for new grads and nurses transferring in.
A plain-language walk through all 11 NIH Stroke Scale items, the scoring rules people miss, and three original written scenarios to practice on — built to teach the method, not to leak copyrighted test content.
The 2026 AHA/ASA stroke guideline makes tenecteplase a Class I, co-equal thrombolytic for acute ischemic stroke. Here's what changes at the bedside — dosing, the single bolus vs. the hour-long drip, and the monitoring that stays exactly the same.
