Schoonover

Question 0

The best time to give tpa is within….

Answer 0

1hr

Question 1

If a pt goes from a 15 to a 9 do you give tpa.

Answer 1

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.

Question 2

How often do you do the nih stroke scale?

Answer 2

Daily

Question 3

Never give tpa and send them off to… In an hr

Answer 3

Interventionalist. That is old school

Question 4

To pt with stroke plus surgery

Answer 4

Thrombectomy vs embolectomy clot removal.

Question 5

How do you differentiate between a seizure and a stroke

Answer 5

Ct perfusion

Question 6

How long does a EEG take.

Answer 6

1hr

Question 7

What is the max age of tpa

Answer 7

No max age. No greater chance of bleed. It was arbitrary cut off for trial based in Coumadin.

Question 8

Urine and stroke

Answer 8

Always check if blood in urine

Question 9

Dysphasia screen

Answer 9

Tongue midline

Question 10

Can you give Asa if npo

Answer 10

No only rectum

Question 11

Names of to interventionalists Kettering

Answer 11

Kohn and short

Question 12

When would call an interventionalists after tpa

Answer 12

If pt needs recovery and it a big clot tpa only dissolve big clot in 25%

Question 13

What is tpa delivery stat nationally

Answer 13

3 to 5%

Question 14

Dose of statins

Answer 14

40mg

Approved at 10

Question 15

How does statin prevent stroke

Answer 15

Stabilizes vessels

Question 16

How effective is statin

Answer 16

As good as Asa

Question 17

Inclusion criteria (5)

Answer 17

1. Family is educated
2. Ischemic stroke
3. Older than 18
4. Within 3 hr

Fate. Family, age 18, time, 3

Question 18

Is a seizure a exclusion factor

Answer 18

Nope

Question 19

Why is 80 not an exclusion factor.

Answer 19

Arbitrary constraint of the study.

No increase in the risk in bleed

Question 20

Why does dr. Schoonover like pravastatin?

Answer 20

Less muscle problems

Question 21

What percentage of people on Lipitor have muscle cramps

Answer 21

1 percent

Question 22

How do you wait before you give Asa with a hemorrhagic stroke

Answer 22

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.