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A Time and “-plase” for Everything: Updated Management of Acute Ischemic Stroke

A Time and “-plase” for Everything: Updated Management of Acute Ischemic Stroke

1 hour
Credits / Contact Hours
$11
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Very well written, easy to digest, time efficient, and straight to the point. Thank you!

Da
Dawn O.
Verified review

I appreciate the convenience of the course being online and accessible through my phone and that it directly reports to support mandated education requirements.

Pr
Priya M.
Verified review

The course was well organized and helpful in meeting state licensure requirements. I found the content to be very informative and practical.

Cr
Cristina G.
Verified review
Course

Learn about alteplase and tenecteplase, their use, side effects, and pharmacist's role in stroke treatment. Stay updated on guidelines.

Nationally & state accredited

Pharmacy

Course Features

Instant certificates
All required courses
Instant reporting toCE Broker - View AchieveCE provider profile
7-day live chat & phone support
Auto reporting toCPE Monitor
Unlimited course attempts

What you'll learn

At the conclusion of this continuing education activity, the participant will be able to:

  1. Explain the mechanism of action of tissue plasminogen activator in a medical emergency.

  2. Review literature regarding the best practice for the use of alteplase and tenecteplase for acute ischemic stroke.

  3. Outline the use of endovascular mechanical thrombectomy for acute ischemic stroke.

Course description

Alteplase and tenecteplase are commonly utilized within health-systems requiring rapid decision-making by the healthcare team. These medications include high risk of life-threatening side effects for which patients must be carefully chosen. Pharmacists must be consistently ready to review orders for appropriateness. Recent literature search revealed updates in the timing and dosing scheme related to the use of alteplase for acute ischemic stroke. 2019 Stroke guidelines added a new section on tenecteplase, highly likely to be a new concept among many pharmacists practicing outside of neurology. Endovascular thrombectomy for acute ischemic stroke is a growing topic in neurology and Pharmacists should have a basic understanding of the process and timing of this procedure to understand how to select pharmacotherapy. This activity will be a knowledge-based activity outlining key principles related to the mechanism of action of fibrinolytic therapy (alteplase, tenecteplase) so the audience understands the background of the disease state and our pharmacotherapy goals. A thorough literature review will be provided to understand the efficacy and timing of these agents. A focus on tenecteplase will be provided as this may be very new to many pharmacists since the literature is only about 5 years old. Endovascular procedures will be discussed so pharmacists can visualize the process of selecting patients and the outcomes associated with this therapy. Multiple choice questions will be asked throughout to engage the audience and assess understanding.

Course content

  • A Time and “-Plase” for Everything: Updated Management of Acute Ischemic Stroke

  • About the Faculty

  • Learning Objectives

  • Facts About the Brain

  • With all that power, what happens when blood can’t travel to the brain?

  • Acute Ischemic Stroke Epidemiology

  • Pathophysiology

  • Cerebral Ischemia and Reperfusion

  • Ischemic Core vs Ischemic Penumbra

  • Ischemic Stroke Treatment Algorithm

  • Fibrinolytic therapy

  • Hemostasis and clot formation

  • Tissue Plasminogen Activator: Mechanism of Action

  • Fibrinolytic For Acute Ischemic Stroke

  • NINDS Trial

  • ECASS 3 Trial

  • Time and Efficacy of t-PA

  • Guideline Direction on t-PA

  • Thrombolytic Exclusion Criteria

  • Target: Stroke

  • Target: Stroke Honor Roll

  • WARNING: Off-Label Discussion Ahead

  • Tenecteplase for Acute Ischemic Stroke

  • Alteplase versus Tenecteplas

  • EXTEND-IA TNK Study- 2018

  • What is the best dose of Tenecteplase for Acute Ischemic Stroke?

  • EXTEND-IA TNK Part 2

  • Medication Safety Concern

  • Tenecteplase Key Learning Points

  • Ischemic Stroke Treatment Algorithm

  • Interventional Neurology Overview

  • Mechanical Thrombectomy History

  • Important Questions to Answer

  • DAWN Trial

  • DEFUSE 3 Trial

  • Key Takeaways

  • References

Course details

Release Date07/31/2024
Expiration Date07/31/2027
Review Date07/31/2027
ACPE UAN0657-0000-21-190-H01-P 0657-0000-21-190-H01-T
CE Broker ID20-845769
AGD Number386503 | Course Code: 016
Activity TypeKnowledge-based
Activity FormatEnduring

Explore more continuing education topics

Neurology

Instructor

avatar
David M. Peters JrPharmD, BCCCP

David Peters is an assistant professor and clinical pharmacist in the Dayton, Ohio area. He completed his PharmD at Ohio Northern University and his residency training at the University of Cincinnati Medical Center. Dr. Peters has held a variety of roles while employed for the Cedarville University School of Pharmacy, including coordination of the Renal Module and Critical Care elective and course participation related to critical care topics. He holds a practice site in the Neuroscience Intensive Care Unit at Miami Valley Hospital where he coordinates pharmaceutical care for patients and provides pharmacology education for both pharmacy and medical learners. His projects include optimization of stroke and epilepsy pharmacology and he has served on multiple process improvement and research projects. In his free time, Dr. Peters enjoys serving in his community and church, hiking, reading, walking his dog and playing board games.​

Ideal CE course for these professions

This continuing education course is especially relevant for these healthcare professions, but other professionals may also benefit

Dental TherapistSpeech-Language Pathology InternCertified Respiratory TherapistSpeech-Language Pathologist - SAOccupational Therapy AssistantAdvanced Practice Nurse PrescribersPharmacistSocial Worker InternSpeech-Language Pathology AssistantCertified Nurse MidwifeSpeech-Language Pathologist Special VolunteerLicensed Social WorkerLicensed Clinical Social WorkerCertified Master Social WorkerLicensed Independent Social WorkerNursing Assistive PersonnelExpanded Function Dental AssistantRegistered Respiratory TherapistDental HygienistCertified Nurse AidesExpanded Function Dental AuxiliaryAdvanced Dental AssistantRegistered Nurse PractitionerAdvanced Practice NursesAthletic TrainerOccupational TherapistForensic Nurse-CSACertified Registered Nurse AnesthetistPsychiatric NurseClinical Nurse SpecialistAPRN - Certified Nurse MidwifeLicensed Practical NurseLicensed Independent Clinical Social WorkerLicensed Psychiatric Technician NurseNurse PractitionerDentistRegistered NurseLicensed Nursing AssistantAdvanced Practice Registered NursePublic Health NurseLicensed Vocational NurseDental TechnicianLicensed Masters Social WorkerCommunity Dental Health CoordinatorRespiratory TherapistMaster's Social WorkNursing Home AdministratorRespiratory Care Practitioner Critical CareDental LabRespiratory Care PractitionerSpeech-Language Pathologist LtdLicensed Certified Social WorkerLicensed Baccalaureate Social WorkerLicensed Independent Social Worker DualRespiratory Care Practitioner Non-Critical CareRegistered Social Worker AssistantDenturistRegistered Dental AssistantGeneral DentistPharmacy TechnicianBachelor's Social WorkerLicensed Independent Social Worker Advanced PracticeDental Assistant RadiographerLicensed Graduate Social WorkerSpeech-Language PathologistLicensed Independent Social Worker Clinical PracticeDental Assistant

Accreditations

AchieveCE is an approved provider (Provider #50-20641) of continuing education for occupational therapy professionals.

  • Alabama State Board of Occupational Therapy

  • Arizona Board of Occupational Therapy Examiners

  • Florida Board of Occupational Therapy

  • Georgia State Board of Occupational Therapy

  • Tennessee Board of Occupational Therapy

  • Mississippi State Department of Health – Bureau of Professional Licensure for Occupational Therapists

Frequently asked questions

How many CE credits does this course provide?

This course, "A Time and “-plase” for Everything: Updated Management of Acute Ischemic Stroke ", provides 1 contact hour of continuing education credit upon successful completion.

Is this course accredited?

Yes, this course is accredited by Occupational Therapy, Physical Therapy, Respiratory Therapy, Clinical Laboratory, Athletic Training, Speech-Language Pathology and Audiology, Dentistry, Nursing, Mental Health, Pharmacy. AchieveCE is an approved provider of continuing education for healthcare professionals.

Which professions is this course approved for?

This course is especially relevant for: Dental Therapist, Speech-Language Pathology Intern, Certified Respiratory Therapist, Speech-Language Pathologist - SA, Occupational Therapy Assistant, Advanced Practice Nurse Prescribers, Pharmacist, Social Worker Intern, Speech-Language Pathology Assistant, Certified Nurse Midwife, Speech-Language Pathologist Special Volunteer, Licensed Social Worker, Licensed Clinical Social Worker, Certified Master Social Worker, Licensed Independent Social Worker, Nursing Assistive Personnel, Expanded Function Dental Assistant, Registered Respiratory Therapist, Dental Hygienist, Certified Nurse Aides, Expanded Function Dental Auxiliary, Advanced Dental Assistant, Registered Nurse Practitioner, Advanced Practice Nurses, Athletic Trainer, Occupational Therapist, Forensic Nurse-CSA, Certified Registered Nurse Anesthetist, Psychiatric Nurse, Clinical Nurse Specialist, APRN - Certified Nurse Midwife, Licensed Practical Nurse, Licensed Independent Clinical Social Worker, Licensed Psychiatric Technician Nurse, Nurse Practitioner, Dentist, Registered Nurse, Licensed Nursing Assistant, Advanced Practice Registered Nurse, Public Health Nurse, Licensed Vocational Nurse, Dental Technician, Licensed Masters Social Worker, Community Dental Health Coordinator, Respiratory Therapist, Master's Social Work, Nursing Home Administrator, Respiratory Care Practitioner Critical Care, Dental Lab, Respiratory Care Practitioner, Speech-Language Pathologist Ltd, Licensed Certified Social Worker, Licensed Baccalaureate Social Worker, Licensed Independent Social Worker Dual, Respiratory Care Practitioner Non-Critical Care, Registered Social Worker Assistant, Denturist, Registered Dental Assistant, General Dentist, Pharmacy Technician, Bachelor's Social Worker, Licensed Independent Social Worker Advanced Practice, Dental Assistant Radiographer, Licensed Graduate Social Worker, Speech-Language Pathologist, Licensed Independent Social Worker Clinical Practice, Dental Assistant. Other healthcare professionals may also benefit from this continuing education content.

How do I report my CE credits after completing this course?

Your credits are automatically and instantly reported to CE Broker and CPE Monitor upon successful completion. No manual reporting is required on your part.

Will I receive a certificate of completion?

Yes, you will receive a certificate of completion immediately after finishing the course and passing the assessment. The certificate can be downloaded and printed directly from your account.

What is your refund policy?

We offer a 30-day money-back guarantee. If you are not satisfied with your purchase, you can request a full refund within 30 days of purchase.

How long do I have to complete this course?

You have unlimited time to complete the course at your own pace. Once purchased, the course is available in your account until its expiration date. You can pause and resume at any time.

Most helpful reviews

Star reviewsReal reviews, real results
Da
Dawn O.Nutritionist
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I am always interested in continuing education in the areas of health, wellness, nutrition and mental health. Your course was well written, well organized and helpful in meeting state licensure requirements.

Pr
Priya M.Occupational Therapist
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Very well written, easy to digest, time efficient, and straight to the point. Thank you!

Cr
Cristina GRegistered Nurse
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I appreciate the convenience of the course being online and accessible through my phone and that it directly reports to CEBroker to support mandated education requirements.

Al
Allison B.Nurse Practitioner
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I really loved this information. I was hospitalized last year for almost a month and I noticed multiple medical errors (not being hooked up to my IV multiple times, given wrong medication which caused my sodium to be very low, etc.) which lengthened my stay. I can now define those exact errors and better understand what happened to me. I hate that these medical errors are so common and I appreciate how well laid out your breakdown and categorization of them was.

Buy with confidence with money back guarantees

30 Day Satisfaction Money Back Guarantee

This course is guaranteed to meet or exceed your expectations for convenience and quality. View Terms

License Renewal Money Back Guarantee

Includes all state CE requirements and hours needed for your license renewal. View Terms

Requirements & disclosures

Financial Disclosures

This activity was developed by AchieveCE free of any commercial support. The following individuals have indicated that they have no financial relationships with an ineligible company that may impact upon this activity:

  • David M. Peters Jr, PharmD, BCCCP - Content Expert and Faculty

  • Patricia Dunn, DNP, APRN, FNP-BC - Nurse Planner

  • Pete Kreckel, RPh - Pharmacist Planner

  • Marie T. Fluent, DDS, CDIPC - Dentist Planner

  • Gracielle Tubera - Content Reviewer

  • Luke Porter – Content Reviewer

  • Dianne Arroyo - Activity Publisher

Passing Grade

Participants must achieve a passing score on the activity post-test, which may be 70% or 80%, depending on the course. They must also complete an activity evaluation. There are no time limits and unlimited test-taking attempts. Credits will be reported automatically to CE Broker if your license information is entered correctly in your profile.

Hardware Requirements

Windows 8.1, Windows 10, Mac OS X 10.1+, iOS 10+, Android 4.3+

Software Requirements

Google Chrome, Microsoft Edge, Mozilla Firefox, Adobe Acrobat Reader

Network Requirements

Broadband Internet Connection: T1, Hi-speed DSL or Cable4G cellular connection

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