Rationale for Thrombolysis

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Methods of Organisational Delivery • Medical Approach • High Dependency Unit • Specialist or Research Nurse • Acute Stroke Unit (hyper-acute) • Use of Tele-medicine
Medical Approach Advantages • Specialist in stroke: skilled and experienced medical staff Challenges • Unpredictability • Sustainability • 24 hour service • Lack of skilled and experienced nurses in thrombolysis • Sufficient nursing resource • Bed availability
Page 1 and 2: Thrombolysis following Acute Stroke
Page 3 and 4: Trial Evidence for Alteplase • Su
Page 5 and 6: Reasons Patients Not Thrombolysed 1
Page 7 and 8: SITS-MOST (2007) • Recruited from
Page 9 and 10: Conclusions • The results of SITS
Page 11 and 12: SIGN Guideline 108, 2008 Grade A ev
Page 17: What I expect A+E to do 1. Recognis
Page 21 and 22: If no contraindication…. • Dilu
Page 23 and 24: Nursing Observation Observe for sig
Page 25: Nursing Care • Avoid urinary cath
Page 29 and 30: Specialist or Research Nurse Advant
Page 31 and 32: Use of Telemedicine • Tele-confer
Page 33 and 34: Stroke Nursing Care • Acute asses
Page 35 and 36: Case Study - John • 69 year old m
Page 37 and 38: Aftercare • Rare anaphylactic rea
Page 39 and 40: Patient Experience of Thrombolysis
Page 41 and 42: Benefits of Thrombolysis Treatment

Rationale for Thrombolysis

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