14 Questions
What is a potential cause of thrombosis?
High blood pressure
Which of the following is NOT a symptom of stroke?
High cholesterol
What is the name of the thrombolytic drug used in the treatment of stroke?
Actilyse 70mg TPA
What is the purpose of 'Blood pressures management' in stroke treatment?
To prevent further strokes
What is the name of the therapy used to help stroke patients regain speech?
Speech therapy
What is the primary purpose of referring a stroke patient to the ICU?
To closely monitor the patient's condition
What is the primary reason for ischemic stroke?
Blood clots
What is the first step in managing a stroke patient?
Identify the side of the stroke
What is the patient's blood sugar level?
520
What is the patient's pH level?
7.43
What is the diagnosis revealed by the CT brain?
Ischemic stroke in large vessels occlusion
What is the patient's heart rate?
75
What is the patient's respiratory rate?
22
What is the patient's past medical history?
Hypertension and Diabetes Mellitus
Study Notes
Ischemic Stroke
- Ischemic stroke is a life-threatening medical condition that occurs when there's a lack of blood flow to a part of the brain, usually due to blood clots or other reasons.
Symptoms
- One-sided weakness or paralysis
- Aphasia (difficulty with or loss of speaking ability)
- Dysarthria (speech difficulties)
- Loss of consciousness
- Nausea and vomiting
- Neck stiffness
- Loss of muscle control on one side of face or facial droop
Causes
- Thrombosis
- High blood pressure
- High cholesterol
- Diabetes
- Smoking
- Alcohol use
Management and Treatment
- Thrombolytic drugs (e.g. Actilyse 70mg TPA)
- Endovascular mechanical thrombectomy
- Blood sugar management (e.g. Insulin 10 U IV)
- Blood pressure management
- Sympathomimetic therapy (e.g. Norepinephrin 0.05 mcg)
- Oxygen therapy
- Referral to ICU
- Stroke rehabilitation (including speech therapy and physical therapy)
Case Study
- 58-year-old female patient with left arm weakness, left facial drop, and dysarthria
- Past history of DM and HTN
- Vital signs: HR 75, BP 200-180, RR 22, SPO2 92
- ECG shows T inversion but no chest pain
- VBG results: pH 7.43, pCO2 48, HCO3 31, combined respiratory and metabolic alkalosis
- CT brain shows ischemic in large vessels occlusion
- RBS 520
This quiz covers the causes, symptoms, and effects of ischemic stroke, a life-threatening medical condition that occurs when there's a lack of blood flow to the brain.
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