Stroke

Question 1

How do you manage a haemorrhaging stroke

Answer 1

Manage the blood pressure and AVOID statins

Question 2

How to you manage an ischemic stroke stroke

Answer 2

Initial management with aspirin
-TIA: 300mg daily until diagnosis is established
- ischaemic stroke: 300mg for 14 days following alteplase (administered within 4.5 hours)

Question 3

What is the long term management of treating an ischemic stroke

Answer 3

1st line: clopidogrel 75mg OD
2nd line: aspirin 75mg OD
Proton pump inhibitor
High intensity statin as soon as soon as they can swallow

Start high intensity statins 48 hours after stroke
Manage hypertension to achieve <130/80
(TLD, Calcium channel blocker, ar blocker, ace-i

Question 4

What are the two main types of stroke

Answer 4

Ischemic stroke (more common) caused by a blockage 875)
- blood clots, fatty plaques diabetes smoking alcohol dyslipidemia hypertension

Hemorragic = rupture (13%)
Hypertension aneurysm blood thinners, head trauma brain tumours bleeding disorders

Question 5

How to manage an ischemic stroke

Answer 5

Face- can they smile
Arm- can they raise both arms
Speech- can they speak clearly
Time- call 999

On admission used the rosier tool to diagnose stroke