Stroke.docx

Stroke A diagram of a network Description automatically generated  A diagram of blood clot Description automatically generated We treat strokes with thrombolytics and anti platlet agents No...

Stroke A diagram of a network Description automatically generated  A diagram of blood clot Description automatically generated We treat strokes with thrombolytics and anti platlet agents Non cardio the thrombus did not start from the heart  A diagram of a human heart Description automatically generated In atrial fabulation the heart is not pumping right -- which results in blood pooling  A diagram of the human brain Description automatically generated Treatment options here are supportive -- manage blood pressure, respiratory support mechanical vent or oxygen  A screenshot of a phone Description automatically generated Treat TIA with 2^nd^ prevention as these people can get a stroke  A screenshot of a medical survey Description automatically generated Stoke presentation  Call can activate code stroke A white background with black text Description automatically generated Presence of blood Bedside bg is taken Maximum score is 42  IscA white background with black text Description automatically generated MRI would show older strokes previous strokes and other stuff that wont get picked up on a CT **Ischemic stroke acute management**  Clot busters are fibrinoloytics Thrombectamy- a surgical procedure to manually remove the clots  A screenshot of a medical test Description automatically generated  A screenshot of a medical test Description automatically generated After a stroke the tissue In the brain is very fragile hence why yoi cant give tpa since it can increase bleed likleyhood and that can be fatal  Look for enoxaparin,lovenox,heparin Or a diriect thrombin inhibitor -- dabigatran pradexa Edoxaban A screenshot of a computer Description automatically generated Head ct upon arrival Tpa- tissue plasminogen activator t-10 p-9 0.9 mg.kg dose max of 90 mg A. An hour  A black text on a white background Description automatically generated Permissive HT  A screenshot of a medical information Description automatically generated  24h after alteplase can start lmwh **2^nd^ ary prevention ischemic stroke** A screenshot of a medical chart Description automatically generated Smoking is associated with an elevated LDL and TG Sodium restriction Maintain normal bmi  A screenshot of a screen Description automatically generated Short term use due to hemmorage  Thombaxane a2 is a potent vasoconstrictor Dipyramidole inhibits the uptake of adenosine into the platlets And increases CAMP which inhibits platlet aggregation A diagram of a mechanism Description automatically generated Prasegral has a box warning for signigifigant bleeding and cant use it if they have hx of a tia or stroke  They are on aspirin for life A screenshot of a computer Description automatically generated  Plavix is used in ACS A blue rectangles with black text Description automatically generated  ICH AND GI BLEED ARE considered serious bleeding Stop clopidregroll 5 days befores surgery A screenshot of a computer Description automatically generated  Try apap **Hemoragic stroke** Supportive tx  A black text on a white background Description automatically generated No proplyaxis for seizures are given 30 degrees head elevation  A screenshot of a computer Description automatically generated Mannitol causes osmotic diuresis -- don't give it to someone who cant pee Manirol accoumulation in the brain can lead to a coma and or confusion m- is a vesicant- extravazation can occur nephrotoxic- fluid status and acid base status  A diagram of a human brain Description automatically generatedthunderclap headache  A close-up of a prescription Description automatically generated Nimodipine- prevents vasospasms  This is a lipohillic dhp ccb no recent stroke A diagram of a test Description automatically generated with medium confidence Her INR is not greater than 1.7 An aptt greater than 40 seconds (which we don't see here) Hypoglycemia can mimic a stroke  (this is where her platlet numbers are located) A diagram of a laboratory test Description automatically generatedthe 125 is blood glucose Low bs can mimic a stroke Less than 50 is the cutoff  Is there a dose of LMWH,a quis A close-up of a prescription Description automatically generated  A screenshot of a test Description automatically generated  10% dose is a bolus