arterial thrombosis

Question 1

what I it

Answer 1

blood clot in vessels in heart or brain which reduces blood supply
med emergency= mi/stroke

Question 2

2 types of stroke

Answer 2

haemorrhagic (blood vessel burst) =high bp, atriovenous malformation aneurysm
2) ischaemic/TIA- mini strokes blood clot blocks brain supply causes :thromboembolism in a fib or atheroscleosis

Question 3

symptoms. stroke

Answer 3

ACT FAST
FACE
ARMS
SPEECH
TIME

Question 4

what determines type of stroke

Answer 4

MRI

Question 5

ischameic tx

Answer 5

1) antipaltelet i.e clopidogrel 75mg (break clot ) alt dipyramidole MR+ aspirin

Question 6

tia tx

Answer 6

mr dipyramidole and aspirin (can uses clopidogrel +aspirin but unlicensed in tia )

Question 7

both TIA/ishaemic strokes

Answer 7

give statin i.e 80mg atrovastation -48hrs after onset of symptoms
- tx HTN target <130/90

Question 8

intracerebral haemorrhage

Answer 8

avoid aspirin statin and anticoags, treat htn only

Question 9

if aspirin causing gi problems what can do

Answer 9

co-prescribe ppi

Question 10

what not to do in ischaemic attack

Answer 10

correct htn, give warfarin

Question 11

stroke initial management

Answer 11

tia = 300mg aspirin immediate (or alt antipalatelet if not tolerated)+secondary prev
acute ishaemic = alteplase (<4.5hrs of symptoms )+ 300mg aspirin asap within symptom onset (or alt if not tolerated)