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Stroke (Ischemic and Haemorrhagic) Management

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Stroke (Ischemic and Haemorrhagic) Management

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Questions and Answers

What is the recommended blood pressure level for administering anti-hypertensive medications?

180mmHg or diastolic BP of 100mmHg

160mmHg or diastolic BP of 90mmHg

180mmHg or diastolic BP of 105mmHg (correct)

140mmHg or diastolic BP of 80mmHg

What is the recommended duration for avoiding antiplatelet and anticoagulation drugs after Alteplase administration?

24 hours (correct)

12 hours

48 hours

72 hours

What is the recommended time window for considering IV Alteplase for acute stroke onset?

0-12 hours

0-3 hours

4.5-9 hours (correct)

0-4.5 hours

What is the CHA2DS2-VASc score component for a patient with a history of stroke or TIA?

1 Signup and view all the answers

What is the classification of a patient with a total CHA2DS2-VASc score of 0?

Low risk Signup and view all the answers

What is the type of stroke characterized by a weakened blood vessel in the brain that ruptures?

Hemorrhagic stroke Signup and view all the answers

What is the approximate percentage of hemorrhagic stroke?

13% Signup and view all the answers

What is the primary goal of secondary stroke prevention therapy?

To reduce the risk of future strokes Signup and view all the answers

What is the priority period for urgent intervention in patients with TIA?

First few days after TIA Signup and view all the answers

What is the blood pressure threshold for patients with ischemic stroke who may be eligible for tissue plasminogen activator treatment?

BP 185mmHg or diastolic BP 110mmHg Signup and view all the answers

What is the course of action for a patient with right-sided paralysis who has been diagnosed with ischemic stroke?

Administer tissue plasminogen activator immediately Signup and view all the answers

What is the primary medication-related problem that should be prioritized in a patient with ischemic stroke?

Uncontrolled hypertension Signup and view all the answers

What is the recommended treatment for patients with cerebellar ICH and neurologic deterioration?

Early surgical intervention and hematoma removal Signup and view all the answers

What is a common complication of hemorrhagic stroke?

Rebleeding Signup and view all the answers

What is the purpose of surgical clipping or endovascular coiling of the vascular anomaly?

To reduce the risk of rebleeding Signup and view all the answers

What is the benefit of ventricular drainage with an extraventricular drain (EVD)?

Treats hydrocephalus causing decreased consciousness Signup and view all the answers

What is the current status of pharmacologic strategies for treating intracerebral hemorrhage?

Not proven Signup and view all the answers

When does rebleeding from an aneurysm usually occur?

Within the first 48 hours after the initial event Signup and view all the answers