1. VTE prophylaxis
[YES] VTE prophylaxis was provided with TED stockings and sequential compression devices on the day of admission.
[NO] Pharmacologic VTE prophylaxis was not initiated becuase patient had a hemorrhagic stroke.
2. Antithrombotic Therapy
[YES] This patient presented with ischemic stroke, and is discharged on antithrombotic therapy with [aspirin, Plavix].
Antithrombotic Therapy by the end of Day 2
[YES] Antithrombotic therapy with [aspirin, Plavix] was administered by the end of hospital day 2.
3. Anticoagulation Therapy
[YES] Etiology of stroke for this patient is most likely due to cardioembolic event [atrial fibrillation]. Anticoagulation therapy with [coumadin, Xarelto, Pradaxa, Eliquis] has been prescribed at discharge to prevent recurrent ischemic stroke. [Coumadin reduces the relative risk of thromboembolic stroke by 68%.]
[NO] Anticoagulation therapy is not indicated in this patient.
[YES] Intravenous TPA was administered to this patient with acute ischemic stroke within 3 hours of symptom onset based on the evidence provided by the NINDS Studies [part 1 and 2].
[NO] Intravenous TPA was not given to this patient because the patient presented to the emergency department greater than 2 hours from the time he was last known to be well, and will not fall within the 3-hour window period for TPA administration.
[NO] Intravenous TPA was not given to this patient because of the following contraindication/s: ___.
4. Statin Medication
[YES] Lipid profile was measured within 48 hours of admission. [Lipid profile was available from within th epast 30 days]. LDL in this patient measured more than 100 mg/dL [or is less than 100mg/dL while on statins] and he/she is prescribed statin medication [atorvastatin] at hospital discharge based on the SPARCL study which demonstrated that the use of statin was associated with dramatic reduction in the rate of recurrent ischemic stroke.
5. Stroke Education
[YES] Patient and/or the caregivers were given educational materials during the hospital stay addressing activation of EMS, need for follow-up after discharge, medications prescribed at discharge, risk factors for stroke, and warning signs and symptoms of stroke.
6. Assessed for Rehabilitation
[YES] Patient was assessed for rehabilitation services by the physical and occupational therapists to prevent complications, minimize impairments, and maximize his function.