12-5

Question 1

SBP paracentesis findings

Answer 1

Diagnosis includes ascites polymorphonucleocyte count >250 cells/mm3.

Send for cell count, gram stain, and culture

Can check protein, glucose, and LDH too

Other findings include pH <7.35, positive culture result, and blood-ascites pH gradient >0.1.

Question 2

Current guidelines recommend blood pressure targets for patients with stroke as follows:

Acute ischemic stroke or transient ischemic attack (TIA):

Answer 2

Acute ischemic stroke or transient ischemic attack (TIA): <220/120 mm Hg

Question 3

Current guidelines recommend blood pressure targets for patients with stroke as follows:

Subarachnoid hemorrhage:

Answer 3

Subarachnoid hemorrhage: <140-160/90 mm Hg

Question 4

Current guidelines recommend blood pressure targets for patients with stroke as follows:

Intracerebral hemorrhage:

Answer 4

Intracerebral hemorrhage: <180/90 mm Hg

Question 5

Current guidelines recommend blood pressure targets for patients with stroke as follows:

Acute ischemic stroke with tissue plasminogen activator administration:

Answer 5

Acute ischemic stroke with tissue plasminogen activator administration: <185/110 mm Hg

Question 6

TPA Reversal in ICH conversion

Answer 6

Infusion of fresh frozen plasma, cryoprecipitate, platelets, and aminocaproic acid

Neurosurgery consultation