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DRUGS > Stroke > Flashcards

Stroke Flashcards

1
Q

Warfarin Reversal

A

Vitamin K

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2
Q

UFH Reversal

A

Protamine

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3
Q

Hemorrhagic Stroke - Anticonvulsants

A

Pts are at inc risk of seizure BUT DON’T initiate PTx (unless pt already on b/c Hx of seizures)

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4
Q

Dabigatran Reversal

A

Praxabind (idarucizumab)

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5
Q

What problem to always think about while pt is recovering from a stroke?

A

Depression
- start SSRI :(
- avoid Paraxotine and Tricyclic antidepressants

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6
Q

What antiplatelet can you not use in PTx of ischemic strokes?

A

Prasugrel

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7
Q

BP goal (tPA administered)

A

<180/105
- use parenteral agents to get to goal

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8
Q

Hemorrhagic Stroke - Antihypertensives

A
  • Use parenteral agents
  • Tx if SBP>180
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9
Q

BP goal (No tpA)

A

<220/110
- use parenteral agents to get to goal

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10
Q

Hemorrhagic Stroke - BP Goals

A
  • First 24 hrs: <180/110
  • inpt after 24 hrs: <160/90
  • after 48 hrs: <130/80 or whatever pts goal
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11
Q

Inclusion Criteria for tPA admin

A
  • ISCHEMIC stroke
  • Sx onset ≤4.5hrs ago
  • ≥18yo
    HOLD ANTICOAGS/PLATELETS FOR NEXT 24HRS IF ADMINED
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12
Q

Types of Rehab needed after stroke

A

ST, OT, PT

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13
Q

HTN Tx in Black pop

A

CCB, Thiazide

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14
Q

Atherosclerotic Stroke - Dyslipidemia PTx

A

High Intensity Statin
- Goal LDL < 70

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15
Q

Rivarox/Apixaban Reversal

A

Andexanet (Andexxa)

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16
Q

HTN Tx in CKD, DM

A

ACE-i/ARB

17
Q

Atherosclerotic Stroke Antiplatelet Tx

A
  • 1st Line: High Dose ASA x2-14days, then 81 ASA indefinitely
  • 2nd Line: 81 ASA + Clopid 75 mg QD (minor stroke)
  • IF ASA Ax: Ticagrelor MonoTx (needs LD)
18
Q

Hemorrhagic Stroke - Prevention of Vasospasm

A
  • ONLY IF subarachnoid hemorrhagic stroke (inc risk for cerebral vasospasm)
  • Nimodipine PO q4h x21days
19
Q

HTN Tx in HFeEF

A

ARNI/ACE-i + BB + SGLT2-i + Aldosterone antagonist

20
Q

HTN Tx in AFib

A

BB or Non-DHB CCB (Dilt or Verap) (rate control agents)

21
Q

Exclusion Criteria for tPA admin

A
  • BP: >185/110
  • BG <50
  • inc bleeding risk
22
Q

HTN Tx in CAD

A

BB + ACE-i

23
Q

Cardioembolic Stroke Antiplatelet Tx

A
  • 1st Line: High dose ASA x2-14days, then start DOAC (if caused by AFib)
  • use Warfarin or Riva if mechanical mitral valve or LV thrombosis

DRUGS (22 decks)

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