CV stroke

Question 1

2 types of stroke

Answer 1

ischaemic
haemorrhagic

Question 2

2 objectives of Haemorrhagic strokes

Answer 2

manage BP
AVOID statins

Question 3

how is ischaemic stroke caused

Answer 3

blood clot in brain

Question 4

initial management of ischaemic stroke
doses in:
TIA
ischaemic

Answer 4

aspirin

TIA: 300mg OD until diagnosis established
Ischaemic stroke: 300mg OD for 14 days following Alteplase

Question 5

for ischaemic stroke, alteplase given firts, admin within X

Answer 5

4.5 hrs

Question 6

Long-term Management of ischaemic
1st and 2nd line

Answer 6

1st: clopidogrel 75mg OD
2nd: aspirin

Question 7

for which pts should PPI be considered

Answer 7

history of dyspepsia assoc w aspirin/
concurrent use w dual antiplatelets

reduce risk of GI haemorrhage

Question 8

what should be started 48 hrs after stroke

Answer 8

high intensity statin

Question 9

manage htn to acheive what BP? (no beta blockers)

Answer 9

<130/80

Question 10

why no beta blockers to manage htn in stroke

Answer 10

thye lower HR and BP thus lowering level of blood getting to brain