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1. Summarize the latest clinical advances in stroke assessment and treatment.
2. Assess the care techniques for stroke patients in the hyper-acute, acute and post-acute stages of recovery.
3. Describe the rationale behind acute perfusion strategies, including the indications and contraindications with t-PA.
4. Recognize the early, subtle signs of stroke.
5. Discuss medication recommendations and protocols for the stroke patient.
6. Define the nurse’s role in stroke prevention.

Stroke Prevention

• Risk Factors
• Nursing Responsibility
• Prevention Resources

Stroke Mimics

• Tumor
• SDH
• Seizure
• Migraine

Hyper-Acute Stroke Care

• Initial Stroke Triage
• Arrival to the ED
• Acute Treatment & Interventions

Clinical Indicators

• Thrombotic Strokes
• Local Stenosis
• Hypercoagulable Work-up

• Embolic Strokes
• Artery to Artery
• Aortic Arch
• Cardio-Embolic
• Arterial Dissection

• Hemorrhagic Strokes
• ICH
• SAH

Stroke Diagnostics

• Patient Education & Preparedness
• Immediate Diagnostic Studies
• Neuroradiological Studies

Acute Stroke Care

• Defining the Stroke Timeline
• Stroke-Focused Assessment
• Common Pitfalls
• Cranial Nerves
• Sensory Exam
• Motor Exam
• Muscle Testing
• Cerebellar Testing
• Deep Tendon Reflexes

• Safety Measures

Management of Ischemic and Hemorrhagic Strokes

• Fluid Management
• Seizure Management
• Fever
• Increased Intracranial Pressure
• Surgical Management
• Treatment Options
• Latest Clinical Advances
• Use of the Merci ® Retriever Device
• Intra-Arterial t-PA
• Stenting
• Therapeutic Hypothermia
• Compressive Craniectomy

• DVT Prevention

Stroke Medications

• Antiplatelets
• Anticoagulants
• Thrombolytics
• Antihypertensives and Diuretics
• Vasopressors and Inotropes
• Lipid-Lowering Agents
• Osmotic Agents
• Anticonvulsants
• Glycemic Control
• Antispasmodics
• Antidepressants
• Neurostimulants
• Atypical Neuroleptics
• Analgesics
• Sedatives
• Antipyretics

Post-Acute Stroke Care

• Levels of Rehab/Restorative Care
• Roles within the Interdisciplinary Team
• Goals of Stroke Rehab

Stroke System of Care

• Acute Stroke Setting, Team, & Survival
• Quality Improvement Techniques
• Criteria for Stroke Center Certification

Cedric McKoy is a neuro-intensive care nurse practitioner and the Associate Director of the Comprehensive Stroke Center at the University of Chicago Medical Center (UCMC). UCMC serves close to 500 stroke patients annually and includes a neurointensive care unit for patients with ICH, ischemic stroke, subarachnoid hemorrhage, brain tumors, traumatic brain injuries, myasthenia gravis, Guillain-Barré syndrome, and acute disseminated encephalomyelitis.

As an acute care nurse practitioner, Cedric works with a team of neuro-intensivists to assess and develop care plans for ICU patients, as well as providing hospital wide consultation for neuro patients. In his role as the Stroke Center Coordinator, Cedric trains critical care nurses and is responsible for TJC data collection for the hospital's stroke patient population. He also contributed to the development of the Stroke Management Guidelines for the UCMC.

A graduate of the University of Wisconsin-Madison and Loyola University-Chicago, Cedric is a member of the American Association of Critical Care Nurses, American Stroke Association and the Stroke Action Alliance.

Speaker Disclosures:

Financial: Cedric McKoy is the Stroke Center Coordinator for The University of Chicago Medical Center. He receives a speaking honorarium from PESI, Inc.

Non-financial: Cedric McKoy has no relevant nonfinancial relationships to disclose.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/15/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Stroke Management Teams