International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 79-89 http://medscipublisher.com/index.php/ijccr 80 the onset of the disease can significantly improve the prognosis of neurological function. The nursing team ensured the timely implementation of anticoagulant therapy and thrombolytic therapy through standardized assessment processes. These measures have been proven to effectively control the progression of the disease (Middleton et al., 2015). Clinical studies have shown that following standardized emergency treatment plans can reduce the waiting time for imaging examinations by 40%, increase the frequency of monitoring key signs by 50%, and directly improve the success rate of treatment (Considine and McGillivray, 2010). Nursing staff also need to coordinate the operation of the pre-hospital emergency system, including dispatching emergency helicopters and establishing mobile stroke diagnosis and treatment units, etc. By constructing a seamless treatment network both inside and outside the hospital, the transfer time of patients from the disease site to the catheterization laboratory can be compressed to within 60 minutes, which is decisive for protecting the ischemic penumbra brain tissue (Table 1) (Summers et al., 2009; Ashcraft et al., 2021). Table 1 Ds of stroke care (Adopted from Ashcraft et al., 2021) Detection Rapid recognition of stroke symptoms Dispatch Early activation and dispatch of EMS by calling 9-1-1 Delivery Rapid EMS identification, management, and transport Door Appropriate triage to stroke center Data Rapid triage, evaluation, and management within the ED Decision Stroke expertise and therapy selection Drug Fibrinolytic therapy, intra-arterial strategies Disposition Rapid admission to stroke unit, critical care unit Table caption: ED indicates emergency department; and EMS, emergency medical services 2.2 Key points of nursing cooperation in drug therapy Standardized drug supervision and care is the basic guarantee for the success of thrombolytic therapy. The nursing team needs to accurately grasp the time window of intravenous thrombolysis and systematically track and observe the adverse drug reactions and changes in neurological function. According to the requirements of the International Stroke Care Guidelines, the intensive care unit needs to be equipped with stroke nurses who have received specialized training, and their professional capabilities can reduce the incidence of treatment complications by 35% (Rodgers et al., 2021). During the implementation of the treatment, the nursing staff simultaneously carried out family health guidance, with a focus on explaining the administration norms of antiplatelet drugs and the early warning indicators of bleeding risks. This kind of continuous education can increase the medication compliance of patients after discharge to 92% and ensure the effect of secondary prevention (Figure 1) (Ashcraft et al., 2021; Green et al., 2021). By regularly participating in the international stroke care certification training, the care team can maintain cutting-edge clinical handling capabilities (Theofanidis and Gibbon, 2016). 2.3 Physiological Index Tracking and Risk Prevention and Control Continuous monitoring of vital signs is a key line of defense against secondary injuries. Establishing an early warning system that assesses the circulatory system (blood pressure fluctuation ±20 MMHG), the respiratory system (blood oxygen <92%), and the nervous system (GCS score decrease by 2 points) every hour can identify the signs of brain edema 2-4 hours in advance (Theofanidis and Gibbon, 2016). The application of the new intelligent monitoring system has increased the accuracy rate of abnormal sign recognition to 98% and reduced the incidence of complications by 28% (Considine and McGillivray, 2010; Cai, 2024). For common complications such as atonic pneumonia, a stepwise prevention plan is implemented, including turning over along the axis every two hours, using a vibration expectoration device, and raising the head of the bed by 30°, etc. Data show that systematic nursing measures can reduce the incidence of pulmonary infection from 23% to 9% (Theofanidis and Gibbon, 2016). By establishing a stroke care quality improvement team and conducting regular case analyses, the continuous optimization of the care plan is ensured (Regu, 2019; Regu, 2020).
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