Stroke

Question 1

What are the signs of stroke

Answer 1

FAST

Face drop
Arm
Speech slurred
Time to call 999

Question 2

What is the initial treatment for TIA

Answer 2

Aspirin 300mg OD with/without PPI until diagnosed fully

TIA and low risk bleeding: Aspirin 300mg and clopidogrel 300mg for 1 dose within 24 hours then BOTH 75mg OD for 21 days THEN clopidogrel monotherapy

Alternatively: Ticagrelor with aspirin then Ticagrelor/Clopidogrel monotherapy

If dual is not suitable, then Clopidogrel monotherapy is sufficient

Question 3

What is the initial treatment for ischaemic stroke

Answer 3

Alteplase within 4.5hours after excluding haemorragic

Then Aspirin 300mg/Clopidogrel 75mg OD within 24 hours for 14 days

Question 4

What is the initial management for haemorrhagic stroke?

Answer 4

Surgery

Question 5

What is the NO AF long term treatment for all except haemorrage?

Answer 5

Clopidogrel 75mg monotherapy or aspirin as alternative

High intensity statin, BP meds, lifestyle

Question 6

What is the treatment for haemorrhagic AF and non AF long term

Answer 6

BP control

Question 7

What is the long term with AF treatment for all except haemorrhagic

Answer 7

Warfarin/Anticoagulant

High intensity statin
BP control
Lifestyle