Schoonover Flashcards
The best time to give tpa is within….
1hr
If a pt goes from a 15 to a 9 do you give tpa.
Yes. The real question is would you give tpa to someone with a 9. Study show in the long run it is better to give it.
How often do you do the nih stroke scale?
Daily
Never give tpa and send them off to… In an hr
Interventionalist. That is old school
To pt with stroke plus surgery
Thrombectomy vs embolectomy clot removal.
How do you differentiate between a seizure and a stroke
Ct perfusion
How long does a EEG take.
1hr
What is the max age of tpa
No max age. No greater chance of bleed. It was arbitrary cut off for trial based in Coumadin.
Urine and stroke
Always check if blood in urine
Dysphasia screen
Tongue midline
Can you give Asa if npo
No only rectum
Names of to interventionalists Kettering
Kohn and short
When would call an interventionalists after tpa
If pt needs recovery and it a big clot tpa only dissolve big clot in 25%
What is tpa delivery stat nationally
3 to 5%
Dose of statins
40mg
Approved at 10
How does statin prevent stroke
Stabilizes vessels
How effective is statin
As good as Asa
Inclusion criteria (5)
- Family is educated
- Ischemic stroke
- Older than 18
- Within 3 hr
Fate. Family, age 18, time, 3
Is a seizure a exclusion factor
Nope
Why is 80 not an exclusion factor.
Arbitrary constraint of the study.
No increase in the risk in bleed
Why does dr. Schoonover like pravastatin?
Less muscle problems
What percentage of people on Lipitor have muscle cramps
1 percent
How do you wait before you give Asa with a hemorrhagic stroke
Wait until the blood is gone. Which the magic number is 6 weeks. But if it is a small bleed and the have an mi 3 weeks later I would give it.