The “guidelines” for stroke do not call for duplex of the veins or the carotid. I noticed this from the first onset of theses “stroke teams” 10 yrs ago.

The guidelines call for a CT to r/o bleed and then if under 3 hrs-tpa can be given.

The venous prophylaxis is only TED/SED.

There was no talk about Carotid scans-these are usually order 1-2 days after. Venous duplex may or may be ordered but is usually ordered by the resp doc or hospitalist. The neurologist and the interventional radiologists are handling a lot of the strokes now-with Tpa infusion by cath placement.

Problem is the RN think DVT is the culprit or give that impression to everyone that listened to her.—Not Good.

Lisa

 

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