Hyperacute Care

Question 1

Aspirin reversal

Answer 1

Platelets

Question 2

Clopdigrel reversal

Answer 2

DDAVP, platelets

Question 3

Lovenox reversal (enoxaparin)

Answer 3

Protamine

Question 4

Alteplase reversal

Answer 4

RiaSTAP

Question 5

Xarelto, Eliquis, Savaysa (rivaroxaban, apixaban, endoxaban) reversal

Answer 5

Kcentra

Question 6

Warfarin (coumadin)

Answer 6

Vitamin K

Question 7

What percentage of CPSS positive are actual strokes?

Answer 7

80%

Question 8

Acute Stroke Ready Hospital (ASRH)

Answer 8

Can administer thrombolytics, then be transferred

Question 9

Primary stroke center (PSC)

Answer 9

Access to neurosurgeons, not 24/7

Question 10

Thrombectomy Capable

Answer 10

Access to 24/7 neurosurgeons, can administer thrombolytics

Question 11

Comprehensive stroke center

Answer 11

Everything, 24/7 neurointensivists, neurointerventionalists, etc

Question 12

How many neurons die per minute in stroke?

Answer 12

1.9 million

Question 13

Door to MD

Answer 13

10m

Question 14

Door to stroke team

Answer 14

15m

Question 15

Door to CT

Answer 15

25m

Question 16

Door to CT results

Answer 16

45m

Question 17

Door to tpa

Answer 17

60m

Question 18

Door to thrombectomy

Answer 18

90m

Question 19

CTA

Answer 19

Used to r/o LVO, aneurysm

Question 20

CTP

Answer 20

Cerebral blood flow

Question 21

What’s normal cerebral blood flow?

Answer 21

50-60

Question 22

What excludes someone from tpa?

Answer 22

Active bleeding
Hypertension (>185/110)
Infective endocarditis
Sx w/in 3m
Already on anticoags

Question 23

What lab values are contraindications to tpa?

Answer 23

INR >1.7
Platelets <100k
PTT >10
PT >5

Question 24

Inclusion for thrombectomy?

Answer 24

NIHSS >=6
LKW <=24h
LVO