Clinical Guide
DRG 14 CVA |
ED Orders |
Admission Orders |
Day 2 |
Day 3 |
Day 4 |
Day 5 |
|
|
|
|
|
|
|
Diagnostics:
-Lab
-X-ray
-Other |
CBC with diff
PT/PTT
Chem Profile
Guiac Stool
EKG
CT of the brain
CXR
Sed Rate
NIH Stroke Scale
|
Chem Profile
Lipid Profile
UA
Video Swallowing Study,
if needed
Echocardiogram
Carotid Ultrasound
MRI |
Daily labs, as indicated |
Daily labs, as indicated
NIH Stroke Scale |
Same |
|
Consults/
Rehab Services |
Neurologist |
PT
OT
Speech
CCC |
Rehabs/SNU Referral |
PT/OT/Speech-
give any DME or
continued care
recommendations
to CCC |
|
|
Treatment/
Monitoring |
Foley, if indicated |
Vital signs q____
Notify MD if SBP>____
consistently or DBP>_____
Neuro checks q____
Wt. measured w/in first 24 hours
Aspiration precautions |
Re-evaluate foley,if able D/C
and begin bladder training
Neuro checks q____
Vital signs q____ |
Re-evaluate foley
Neuro checks
Vital signs |
Re-evaluate foley
Neuro checks
Vital signs |
|
| IV/Meds |
Saline needle lock
Heparin, if indicated
Provide hydration |
Heparin or other anticoagulant
as indicated |
Consider oral anticoagulants
or antiplatelet therapy |
Consider oral
anticoagulants or
antiplatelet therapy |
|
|
| Nutrition |
Diet____________ |
Diet____________
Hold diet (if dysphagic) |
Diet____________
If NPO, consider tube
feeding |
Diet____________ |
Diet____________ |
|
| Activity |
Non-hemorrhage: HOB
flat
Hemorrhage: 30° |
Activity____________
If bedrest, consider DVT
prophylaxis |
Activity____________ |
Activity____________ |
Activity____________ |
|
| Education |
|
|
Distribute Stroke Education
Packet
Distribute Education in regards
to tests/procedures |
Review Stroke
Education Packet |
If D/C within 24 hours,
consult pharmacy for
discharge med
teaching |
|
| Discharge Plan |
|
|
Assess the home situation
and identify patient's
primary care giver
Review PT/OT/ST
evaluations |
Determine need for
additional resources
and notify appropriate
resources (DME, home
care, nursing facility)
If appropriate, consult
Social Worker |
Prepare patient for
discharge
Continue to determine
need for additional
resources |
Prepare patient for
discharge
Confirm appropriate
continuum of care
needs |
