Stroke Flashcards

1
Q

What does CVA stand for?

A

Cerebrovascular accident

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2
Q

What are the 2 types of CVAs?

A

Ischaemic/Infarct of the brain, and intracranial haemorrhage.

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3
Q

What is the medical term for a “Mini-stroke”?

A

TIA, trans ischaemic attack

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4
Q

What can obstruct the blood supply to the brain, causing a stroke?

A

Thrombus formation, embulus formations, atherosclerosis, shock or vasculitis

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5
Q

Name some things that will increase your risk of stroke

A

AF, obesity, smoking, previous stroke, CVD, diabetes, HTN, COCP

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6
Q

What is the most common type of stroke to occur?

A

Ischaemic stroke, caused by a blockage to the blood vessels

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7
Q

What is the acronym we use to detect a stroke?

A

F Face
A arms
S speech
T time

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8
Q

What is the window for thrombolysis?

A

4 hours

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9
Q

What is the thrombolytic of choice?

A

Anteplase

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10
Q

If your patient presents with strok symptoms within 24 hours of onset, what should you treat them with?

A

Aspirin

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11
Q

If you prescribe you pt aspirin, what else should you check for to see whether they need additional medications?

A

Ask if there is a Hx of dyspepsia, as if there is they will need to be prescribe a PPI with the aspirin

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12
Q

What type of stroke will show in a CT scan straight away?

A

Haemorrhagic stroke

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13
Q

How do you treat a haemorrhagic stroke?

A

You can operate to clip the bleed, remove the haematoma and decrease the ICP. Or you can conservatively manage the patient until the blood is reabsorbed

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14
Q

What is the medications patients should be on post stroke?

A

Clopidogrel, and a statin at least 48 hours after the stroke

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15
Q

How long should a patient not be driving for after they have had a stroke?

A

At least 1 month

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16
Q

How long will it take for an ischaemic stroke to show on a CT scan?

A

At least 24 hours

17
Q

How long after a brain bleed will it show up on a lumbar puncture?

A

After 24 hours at least

18
Q

Should every patient with suspected stroke have their BP immediately reduced?

A

No, it should be done on a case by case basis