Podcast
Questions and Answers
What is a potential cause of thrombosis?
What is a potential cause of thrombosis?
Which of the following is NOT a symptom of stroke?
Which of the following is NOT a symptom of stroke?
What is the name of the thrombolytic drug used in the treatment of stroke?
What is the name of the thrombolytic drug used in the treatment of stroke?
What is the purpose of 'Blood pressures management' in stroke treatment?
What is the purpose of 'Blood pressures management' in stroke treatment?
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What is the name of the therapy used to help stroke patients regain speech?
What is the name of the therapy used to help stroke patients regain speech?
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What is the primary purpose of referring a stroke patient to the ICU?
What is the primary purpose of referring a stroke patient to the ICU?
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What is the primary reason for ischemic stroke?
What is the primary reason for ischemic stroke?
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What is the first step in managing a stroke patient?
What is the first step in managing a stroke patient?
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What is the patient's blood sugar level?
What is the patient's blood sugar level?
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What is the patient's pH level?
What is the patient's pH level?
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What is the diagnosis revealed by the CT brain?
What is the diagnosis revealed by the CT brain?
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What is the patient's heart rate?
What is the patient's heart rate?
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What is the patient's respiratory rate?
What is the patient's respiratory rate?
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What is the patient's past medical history?
What is the patient's past medical history?
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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
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Description
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.
