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1. Summarize the latest clinical advances in stroke assessment and treatment.
2. Describe the rationale behind acute perfusion strategies, including the indications and contraindications with t-PA and Mechanical Clot retrieval.
3. Explain the role of a Stroke Rapid Response Team.
4. Demonstrate a focused neurological exam for the patient potentially experiencing a stroke.
5. Compare ischemic and hemorrhagic strokes.
6. Develop a plan of care for a patient in the hyper-acute stage of stroke treatment.

Stroke Prevention Updates

• Guidelines for Modifiable Risk Factors
• Hypertension Recommendations
• Cardiac Connections
• Obesity Epidemic
• Are We Making Progress?

Challenges of the Neuro Exam

• Determining Mental Status
• Cranial Nerve Assessment Key Findings
• Differentiating the Cause When Seconds Count
• NIHSS Guidelines
• Stroke Rapid Response Teams

Identifying Stroke Mimics and Chameleons

• Interpreting Imaging & Other Diagnostics
• Metabolic Problems
• Central Nervous System Problems
• Psychiatric Disorders
• Migraine Headaches

Acute Stroke Care

• The Stroke Timeline
• Critical History Questions
• Hyper-Acute Care Standards
• Time Targets for Triage
• Key Diagnostics
• Acute Blood Pressure Management

Ischemic Strokes

• Thrombotic Strokes
• Major Symptoms by Region
• Hypercoagulable Work-up
• Embolic Strokes
• Symptoms by Arterial Involvement

Current Management Strategies

• Joint Commission Core Measures
• Fluid Management
• Seizure Management
• Intra-Arterial t-PA
• Stenting
• Therapeutic Hypothermia
• Compressive Craniectomy
• Mechanical Clot Retrieval
• MERCI Retriever
• Treatments on the Horizon
• AANN Guidelines & Expected Outcomes

Hemorrhagic Strokes

• Latest Clinical Treatment Advances
• Managing Increased Intracranial Pressure
• Aneurysmal Subarachnoid Hemorrhage
• Grading Scales

Limiting Complications of Stroke

• Controversial Therapies
• Nursing Responsibilities
• New Technology Improving Outcomes

Stroke Medication from A to Z

• Anticoagulants
• Antihypertensives
• Glycemic Control
• Neurostimulants
• Thrombolytics
• Clinical Trials on the Horizon

Expanding the Role of the Primary Stroke Center

• The Transition to Comprehensive Stroke Centers
• Best Demonstrated Practices
• Updates & Improvements More than a Decade Later

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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). 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 are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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: 12/6/2020
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, Physician Assistants