Initial assessment and management

Question 1

What are the absolute contraindications of IV tPA in ischemic stroke patients?

Answer 1

1. bleeding on ct
2. Late hospital arrival > 4.5 hours since symptom onset
3. persistent high blood pressure >185/110

Question 2

Why does platelet count matter

Answer 2

platelets for a plug when blood vessels are damaged

low platelets mean you’re prone to bleeding

Question 3

what are the 3 most important lab studies when evaluating ischemic stroke

Answer 3

CT
blood glucose
oxygen saturation

Question 4

Other than blood pressure, what are other important factors in stroke management (in hospital)

Answer 4

fluids
blood glucose
swallowing assessment
fever
head position

Question 5

What are the various therapeutic modalities for acute ischemic stroke including at discharge

Answer 5

1. IVTPA
2. endovascular treatment (Mechanical thrombectomy)
3. aspirin/antiplatelet
4. prevent (prophylaxis) deep vein thrombosis / pulmonary embolism
5. antithrombotic therapy at discharge (when indicated)
6. SSRIS
7. blood pressure management
8. lifestyle changes