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Class Author

Maureen Sullivan-Tevault

Maureen graduated nursing school in 1981 and has spent her years in the Emergency and Trauma field, including nursing positions as the Emergency Department Manager, Director of Staff Education, Trauma Coordinator, Cardiology Nurse Navigator, and Stroke Program Manager.

Read Maureen Sullivan-Tevault's Full Bio...

Class Accreditation

All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.
This course is accredited by the following boards:
Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.
Provider approved by the Arkansas, District of Columbia, Florida, Georgia , South Carolina Boards of Nursing through CE Broker, CE Provider #: 50-13256.  

Stroke Management: Advanced

Contact Hours: 3
Cost: $36.00

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Stroke Management: Advanced
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.

An online continuing education course for nurses, medical health care professionals, and other interested individuals.

Stroke is the third leading cause of death in the United States and the leading cause of serious, long-term disability. Few conditions can occur as rapidly and with as devastating consequences as stroke. Data from the American Stroke Association (ASA) indicate that over 700,000 people in the United States suffer a stroke each year. Immediate emergency treatment is critical to surviving a stroke with the least amount of damage to the brain and the ability to function. Every stroke or transient ischemic attack must be treated as a life-threatening emergency. Thus, it is important that all healthcare providers be educated on the early identification of stroke symptoms, emergency care options, and prevention of recurrent stroke.
This course, Advanced Stroke Management, will discuss the anatomy and physiology of a stroke. It will outline the cerebral artery anatomy and identify stroke symptoms as they relate to the various artery involvements. Radiological testing, laboratory values, medications, and nursing interventions will be addressed, as they pertain to the treatment of the acute stroke patient.
In 2003, The Joint Commission launched its Primary Stroke Center Certification Program. As of October, 2017, there are more than 1000 certified primary stroke centers. The designation signifies that the hospitals meet requirements to provide emergency diagnostic and therapeutic services by a multidisciplinary team 24 hours a day, seven days a week, to patients with symptoms of acute stroke. Eight hours of annual stroke specific continuing education is REQUIRED for the staffs that comprise the CORE stroke team. Additionally, at least 80% of the Emergency Department staff is required to have knowledge of the stroke pathophysiology, presentation, assessment, diagnosis and treatment including thrombolytic therapy. Finally, Nurses on non-stroke units, where stroke patients are not routinely cared for, and ancillary staff should receive education related to recognition of stroke signs and symptoms and activation of the organization’s emergency response processes. This course would be excellent for all healthcare providers, and assist hospitals seeking both initial and renewal of primary stroke center certification.


Upon completion of this course, the participant will be able to
  1. Identify signs and symptoms of a stroke, and appropriate emergency treatment
  2. Differentiate the difference between a stroke and a transient ischemic attack (T.I.A.)
  3. Calculate the appropriate dose of t-PA for treatment of ischemic stroke
  4. Identify the risks and benefits of t-PA administration
  5. List the appropriate members of a (stroke) rehabilitation team
  6. Discuss the N.I.H. stroke scale and its use in evaluation of stroke severity
  7. Describe measures to decrease the risk of a recurrent stroke (“secondary prevention”)
  8. Discuss the anatomy and physiology of the brain and cerebral arteries.
  9. Define the penumbra in relation to acute stroke care
  10. Describe the care for the acute stroke patient during a hospital stay
  11. Describe emergency interventions for a patient diagnosed with an acute stroke.


Chapter 1
  • Signs and symptoms of a stroke
  • Ischemic versus Hemorrhagic stroke
  • Stroke versus Transient Ischemic Attack
Chapter 2
Time parameters for treatment
  • Certified Stroke Centers
Chapter 3
Initial Emergency department care of stroke patient
  1. NPO
  2. IV sites
  3. Hypoglycemia
  4. Blood pressure parameters
  5. Labwork and related diagnostics
  6. Aspirin on arrival
  7. Dysphagia screening
  8. NIHSS
Chapter 4
t-PA for stroke patients
  1. Inclusion and exclusion criteria
  2. Infusion and monitoring
  3. Patient deterioration during infusion
  4. Expansion of 3 hour window
Chapter 5
The Penumbra

Chapter 6
The anatomy of the brain
  1. The cerebrum
  2. The cerebellum
  3. The brain stem
  4. Lobes of brain and their function (parietal, frontal, occipital, and temporal)
Chapter 7
The cerebral arteries
  1. Middle cerebral artery
  2. Anterior cerebral artery
  3. Posterior cerebral artery
  4. Vertebral-Basilar artery
Chapter 8
Initial care of the stroke patient ( 24-48 hours post stroke)
  1. Glucose levels
  2. Hypertension
  3. Body temperature regulation
  4. Infection
  5. Deep vein thrombosis
  6. Constipation
    • Members of the interdisciplinary stroke team
Chapter 9
Secondary stroke prevention and patient education

Chapter 10
Stroke complications specific to area of infarct
  1. Balint syndrome
  2. Paramedian thalamic infarction
  3. Prosopagnosia
  4. Visual agnosia
  5. Locked in syndrome
  6. Migraine versus stroke
Chapter 11
Diagnostic testing for stroke patient care
  1. Brain scan (CT scan)
  2. Magnetic resonance tomography (MRI)
  3. Transcranial Doppler Ultrasonography (TDU)
  4. Chest Xray
  5. Echocardiogram
  6. Electrocardiogram (EKG)
  • Merci clot disruption
  • Craniotomy
  • Endarterectomy
  • Children and strokes
Chapter 12
Recommended websites for additional stroke information