Stroke Meds
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| Origin of Stroke | Ischemic (80-85%) and hemorrhagic stroke
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| Types of Ischemic stroke | Thrombolic and Embolic strokes
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| Thrombolic stroke | Atherlosclerosis block at a particular location, or subendothelium injury exposed clot not fully formed to get TransIschemic Stroke-TID
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| Embolic stroke | A fragment from the heart traveled to bifurcated, or cartoid area which is narrow to cause obstruction
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| Risk Factors for 1st ischemic stroke | Age,gender, race, genetic, HTN, Atrial Fib, cigarettes, high cholesterol, Heavy EtOh, Asymptomatic artoid stenosis, TID
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| Framingham increase in risk | HTN, Cholerteral, glucose intolerance, smoking, LVH or ECG
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| 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
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| Stroke acuten ischemic | tPA id within 3 hours,
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| Stroke prevention of reoccurance | ASA/dipyridamole(aggronox),Clopidogrel (plavix), Ticlopidine, ASA
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| Embolic Stroke Risk | Atrial Fib, MI, valvular heart disease,mitrial stenosis,cardiomyopathies
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| Prevention of embolic stroke | LMW heparin(enoparin) or warfarin but find source
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| Stroke Diagnosis | CT (normal day of the presentation-lesion 24hr after) but shown hemorragic, Ultrasound and angiograpy location of atherosclerosis (thrombolic)
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| Diagnositc workup-1st | Admission Labs: Cartoid ultrasound, ECG, cardia monitoring
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| Diagnositic work up 2nd | Echocardiography, transcranial doppler, MRI, coagulopathies,cerebral angiography
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