acute stroke

Question 1

BP goal with tPA?

Answer 1

<= 185/110

Question 2

3 agents to reduce BP to <= 185/110?

Answer 2

labetalol IV bolus
clevidipine gtt
nicardipine gtt

Question 3

What do you do if tpa candidate, <=185/110 is not achieved with labetalol bolus, clevidipine gtt, or nicardipine gtt?

Answer 3

do NOT give tpa; treat like HTN emergency next 24-72hrs

Question 4

Acute stroke, but not tpa candidate?

Answer 4

treat like HTN emergency next 24-72hrs

Question 5

tpa candidate <185/110 achieved, tpa given, then maintain BP at what goal?

Answer 5

<= 180/105

labetalol gtt
clevidipine gtt
nicardipine gtt

Question 6

What do you do after tpa given and BP <=180/105 achieved?

Answer 6

treat like HTN emergency next 24-72 hrs

Question 7

Blood glucose < ___ is tpa exclusion?

Answer 7

50

Question 8

SBP of ___ and/or dBP > ___ is tpa exclusion?

Answer 8

185, 110

Question 9

Any Hx of ___ is tpa exclusion?

Answer 9

intracranial hemorrhage

other head/brain PMH consult package insert

Question 10

Active ___ bleeding is tpa exclusion.

Answer 10

internal

other PMH of bleeding consult package insert

Question 11

Treatment with UFH/LMWH within ___ hrs is tpa exclusion?

Answer 11

48

Question 12

Current use of ____ is tpa exclusion.

Answer 12

DOACs

Question 13

warfarin use with what INR/PT within 0-3hrs of acute stroke is tpa exclusion?

Answer 13

INR > 1.7

PT > 15 secs

Question 14

Age greater than ___ and ANY warfarin use is tpa exclusion within 3-4.5 hrs of acute stroke.

Answer 14

80