AVC Flashcards

1
Q

anamnese

A

-Hemiparesia
-desvio de olhar epsilateral
-afasia
-Ataxia
-Mutismo
-Liberacao de esfinceter
-Vertigem

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2
Q

abordagem inicial

A

-MOVEG
-TAC de craneo

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3
Q

escala NIHSS

A
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4
Q

contraindicacoes de reperfusao

A
  • < 18 anos
  • AVCH
  • > 4,5h
  • PAS> 185, PAD > 110
  • glicemia > 400 mg/dl
  • AVC, TCE, IAM, cx 3 meses
  • História de sangrado intestinal 21d
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5
Q

Trombectomia

A

-até 6 hs

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6
Q

controle pressorico de avc isquemico

A

-Trombolise: < 185/110 mmhg
-NAO trombolise: < 220/110 mmhg
-ATÉ 15% em 24 hs

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7
Q

EXAMES AVC ISQUEMICO

A

1- TAC DE CRANIO
2- Angiotac
3- Hb1ac
4- Ecocardiograma
5- Sorologia Chagas
6- ECG
7- VDRL

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8
Q

tto Ateroesclerose e Cardioembolica

A

-Antiagregante + estatina
-Anticoagulacao

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9
Q

AIT de alto risco, profilaxia

A

ASS+ clopidogrel por 21 dias

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10
Q

escala ABCD2 para AIT de alto risco para desenvolver AVE

A

maior que 60 anos
pa maior a 140/90 mmhg
alteracao da fala
hemiparesia: 2 pts
maior a 60 min : 2pts
DM

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11
Q

TIPOS de avc hemorragico

A

HSA
INTRAPARENQUIMATOSO

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12
Q

CAUSAS DE HEMORRAGIA INTRAPARENQUIMATOSO

A

HAS
vasculite
angiopatia amiloide

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13
Q

clinica de HSA

A

-CEFALEIA ou TROVOADA
-RIGIDEZ DE NUCA
-REDUCAO DA CONSCIENCIA
-CRISE EPILEPTICA

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14
Q

TAC normal em suspeita de HSA

A

PL (Xantocromico)
Arteriografia

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15
Q

escala de Hunt hess e Fisher para HSA

A
  • Prognostico
  • Vasoespasmo
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16
Q

tto de HSA

A

-Jejum 24hs
-Nimodipino
-Clipagem ou embolizacao

17
Q

angiopatia amiloide

A

-RNM : multiplos focos de sangramento

18
Q

manejo de AVC hemorragico

A

-controle PA
-clipagem ou embolizacao ( sangramento superficial )
-drenagem ( hidrocefalia)
-corticoide : edema vasogenico