pom-stroke2 Flashcards
if inr < or = 3, then ?
probably don’t stop anti- coag
what is more worrisome, taking a pt off coag to do procedure, or leaving them on to risk bleeding?
keep them on it usually- very infrequent does it cause dire bleeding situation, but ischemic attack can happen if take off anti-coag
when should you take off anti-coag?
when it is very invasive
erythromycin, tetracycline, metronidaozle drug rxn to worry about?
coumadin- they decrease metab so coumadin becomes supra-therapeutic
antiplatelet agents have (lower, higher) bleeding risk than anticoag
lower
perio and stroke- are they related
maybe
what is recommended to give high stress pt , or pt with previous ICH or HTN before treating?
benzo
janeway lesion
erythematous, on palsm and soles seen in acute endocarditis
conjunctival petechia
due to strep sanguis- can help diag
roth spots-
oval, retinal hemorrhages with a pale center, also seen in ct dz and anemai (along with endocarditis)
splinter hemorrhages
due to endocarditis-
endocarditis can cause: 2 things:
ischemic stroke, hemoragic stroke
what percent of endocarditis pt get stroke?
15-20
anticoag (is, is not) indicated for pt with native valve endocarditis due to high risk of bleeding
NOT
should we give anticoag to pt with mechanical valvues?
yes, if a stroke occurs contiue anticoag for 48 hurs
mycotic aneurysm- should we tx pt who has it?
high risk of bleeding so dont do dental work
mycotic aneurysm- cause
spetic emboli to vasa vasorum
woman collapses and cant move her left arm and leg, left facial droop. can speak clearly, but she cannot stand and seems confused.
right mca, language is okay and left body side has issues. also has neglect
what do you do for lady w r mca stroke
sit down, 911, check bp, call neurologist, ccheck time, give aspriin.
