Back to Basics: Adherence With Guidelines for Glucose and Temperature Control in an American Comprehensive Stroke

Anne W Alexandrov1, Paola Palazzo, Sharon Biby

  • 1Questions or comments about this article may be directed to Anne W. Alexandrov, PhD RN AGACNP-BC CCRN NVRN-BC ANVP-BC FAAN, at Anne@outcomesmgmt.org. She is Professor of Nursing and Professor of Neurology, Department of Acute and Critical Care, College of Nursing, and Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN; and NET SMART, Health Outcomes Institute, Fountain Hills, AZ. Paola Palazzo, MD, is Stroke Neurologist, Department of Neurology, Poitiers University Hospital, Poitiers, France; and San Giovanni Calibita Fatebenefratelli Hospital, Rome, Italy. Sharon Biby, MSN RN AGPCNP-BC ANVP-BC, NET SMART, is Stroke Team Nurse Practitioner, Health Outcomes Institute, Fountain Hills, AZ; and The Moses Cone Memorial Hospital, Cone Health, Greensboro, NC. Abbigayle Doerr, DNP RN FNP-BC ANVP-BC, NET SMART, is Manager, Interventional Labs, Health Outcomes Institute, Fountain Hills, AZ; and Northwestern Medicine, Central DuPage Hospital, Winfield, IL. Wendy Dusenbury, DNP RN AGACNP-BC FNP-BC ANVP-BC, is Stroke Team Nurse Practitioners, Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN; NET SMART, Health Outcomes Institute, Fountain Hills, AZ; and Assistant Professor, College of Nursing, Wichita State University, Wichita, KS. Rhonda Young, MSN RN FNP-BC ANVP-BC, is Nurse Practitioner, The Little Clinic, Wichita, KS. Anne Lindstrom, is Stroke Program Director, MSN RN FNP-BC, Northwestern Medicine, Central DuPage Hospital, Winfield, IL. Mary Grove, MSN RN ACNP-BC, is PhD Candidate, Department of Acute and Critical Care, College of Nursing, University of Tennessee Health Science Center, Memphis, TN; and Institute for Evidence Based Care, Hackensack Meridian Health, Neptune, NJ. Georgios Tsivgoulis, MD PhD, is Professor, Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN; and Second Department of Neurology, Attikon University Hospital, Chaidari, and School of Medicine, University of Athens, Athens, Greece. Sandy Middleton, PhD RN, is Professor of Nursing, Nursing Research Institute, Australian Catholic University, and St Vincent's Health Australia, Sydney, Australia. Andrei V. Alexandrov, MD, is Professor and Chairman, Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN.

Abstract

Related Concept Videos

Brainstem: Control Centers of Medulla01:21

Brainstem: Control Centers of Medulla

The medulla oblongata is a crucial part of the brainstem responsible for controlling various autonomic and involuntary functions. It contains several nuclei, including the olivary, cuneate, gracile, and solitary nuclei.
Olivary Nucleus
The olivary nucleus, or inferior olivary nucleus, is located within the ventrolateral part of the medulla oblongata. It is primarily involved in motor coordination and motor learning. The olivary nucleus receives input from the spinal cord, cerebellum, and motor...
4.4K
Physical Methods for Controlling Microbial Growth: Temperature01:23

Physical Methods for Controlling Microbial Growth: Temperature

Heat is a widely used method to control microbial growth by targeting and denaturing cellular proteins, thereby killing or inactivating microbes. This method's effectiveness is quantified using parameters such as the thermal death point (TDP), thermal death time (TDT), and decimal reduction time (D value). TDP represents the lowest temperature at which all microorganisms in a liquid suspension are eliminated within 10 minutes, whereas TDT is the time necessary to achieve sterilization at a...
1.2K
Energy Basics02:27

Energy Basics

Chemical reactions, such as those that occur when you light a match, involve changes in energy as well as matter.
47.9K
Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
12.2K
Glucose Homeostasis: Regulation of Blood Glucose01:02

Glucose Homeostasis: Regulation of Blood Glucose

Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
4.4K
Guidelines for Sketching a Curve01:23

Guidelines for Sketching a Curve

Curve sketching is a systematic method for understanding the overall behavior of a function by analyzing its key mathematical features. A function defines a curve on the coordinate plane, where the horizontal axis represents the input variable and the vertical axis represents the output. The process begins by determining the domain, which specifies the set of input values for which the function is defined and establishes the horizontal extent of the graph.Intercepts with the horizontal and...
151