Stroke Flashcards
What are the signs of stroke
FAST
Face drop
Arm
Speech slurred
Time to call 999
What is the initial treatment for TIA
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
What is the initial treatment for ischaemic stroke
Alteplase within 4.5hours after excluding haemorragic
Then Aspirin 300mg/Clopidogrel 75mg OD within 24 hours for 14 days
What is the initial management for haemorrhagic stroke?
Surgery
What is the NO AF long term treatment for all except haemorrage?
Clopidogrel 75mg monotherapy or aspirin as alternative
High intensity statin, BP meds, lifestyle
What is the treatment for haemorrhagic AF and non AF long term
BP control
What is the long term with AF treatment for all except haemorrhagic
Warfarin/Anticoagulant
High intensity statin
BP control
Lifestyle