stroke Flashcards
TIA
is a mini stroke temporary clot or block - no permanent damage
fibrinolytics in stroke
Altepase- TPA
- whtin 3 hours from symptom onset
60 mins of hospital arrival
BP should be less than 185/110
ASA in stroke
162-325mg within 24-48 hours and not within 24 hours of TPA
Hypertension in stroke
maintain <180/105 24 hours f above 220/120 goal is to reduce 15% first 24hours
once stable oral meds to treatment goal
Glucose in stroke
maintain 140-180
DVT in stroke
LMWH
secondary prevention
dyslipidemia- statins high intensity
diabetes- A1C <6.5
Afib- for cardioembolic stroke
sodium restriction
PA
weight
smoking
ICH hemorrgaic stroke
mannitol to draw water from brain to excrete lowers ICP
nimodipine for SAH post hemorrhagic prevention of vasopasm