After management of stroke & secondary prevention Flashcards
How long after admission should a stroke patient have a swallow screening?
Within 4 hours
How long after admission should patients with an ischemic stroke be given aspirin?
within 24 hours
How is malignant MCA syndrome treated?
Hemicraniotomy
Where in the brain does a patient most likely have a stroke if the develop obstructive hydrocephalus?
Cerebellar stroke
How is obstructive hydrocephalus treated?
Decompressive craniotomy
If a patient develops malignant MCA syndrome as a result of a stroke, where in the brain is the stroke most likely to be?
Anterior brain
What percentage of stroke patients develop post-stroke pneumonia?
about 15%
What is used in post-stroke management to reduce DVT risk in immobile patients?
Intermittent pneumatic compression
What scoring system is used in TIA?
ABCD2 score
What is the immediate management after an ischemic stroke?
Antiplatelet + statins
What is the immediate management after an hemorrhagic stroke?
Stop any anti-thrombotics
BP management
When is acute blood pressure management indicated in stroke?
Lowering BP for safe thrombolysis
ICH as an attempt to reduce hematoma expansion
What are the management options for acute blood pressure management of stroke?
IV labetalol
OR
IV GTN
When are antiplatelets used for immediate management in stroke/TIA?
All ischemic stroke and TIA’s
When are antiplatelets used for long-term management in stroke/TIA?
Small vessel atheromatous disease
Large vessel atheromatous disease
