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Stroke IOS 8-4

Stroke Meds

QuestionAnswer
Origin of Stroke Ischemic (80-85%) and hemorrhagic stroke
Types of Ischemic stroke Thrombolic and Embolic strokes
Thrombolic stroke Atherlosclerosis block at a particular location, or subendothelium injury exposed clot not fully formed to get TransIschemic Stroke-TID
Embolic stroke A fragment from the heart traveled to bifurcated, or cartoid area which is narrow to cause obstruction
Risk Factors for 1st ischemic stroke Age,gender, race, genetic, HTN, Atrial Fib, cigarettes, high cholesterol, Heavy EtOh, Asymptomatic artoid stenosis, TID
Framingham increase in risk HTN, Cholerteral, glucose intolerance, smoking, LVH or ECG
Eligibility for thrombolytic therapy >18, no stroke or head trauma, no history or current ischemic head injury, SBP<185, DBP<110, no seizures, normal PT/PTT (INR<1.7), PTL > 100,000, glucose >50 or <400, not pregnant
Stroke acuten ischemic tPA id within 3 hours,
Stroke prevention of reoccurance ASA/dipyridamole(aggronox),Clopidogrel (plavix), Ticlopidine, ASA
Embolic Stroke Risk Atrial Fib, MI, valvular heart disease,mitrial stenosis,cardiomyopathies
Prevention of embolic stroke LMW heparin(enoparin) or warfarin but find source
Stroke Diagnosis CT (normal day of the presentation-lesion 24hr after) but shown hemorragic, Ultrasound and angiograpy location of atherosclerosis (thrombolic)
Diagnositc workup-1st Admission Labs: Cartoid ultrasound, ECG, cardia monitoring
Diagnositic work up 2nd Echocardiography, transcranial doppler, MRI, coagulopathies,cerebral angiography
Created by: liza001
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