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Ageing > Stroke > Flashcards

Stroke Flashcards

1
Q

Causes of stroke?

A

Haemorrhagic

Ischaemic

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2
Q

After stroke, when is risk of death greatest?

A

First week- equal after 6 months

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3
Q

What is decision for thrombolysis based on?

A 
Age
Time since onset
Previous intracerebral haemorrhage or infarct
Atrophic changes
BP
Diabetes
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4
Q

What is IV tPA?

A

Tissue plasminogen activator

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5
Q

When can IV tPA be given?

A

Within 4.5 hours of onset of symptoms

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6
Q

Acute management of stroke?

A 
Imaging 
Thrombolysis/ thrombectomy 
Swallow assessment 
Nutrition / hydration 
Anti platelets 
Stroke unit care 
DVT prevention
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7
Q

What anti platelets are given following stoke?

A

Aspirin

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8
Q

What DVT prophylaxis can be given following stroke?

A

LMWH

Intermittent pneumatic compression

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9
Q

Secondary prevention of Stroke?

A

Meditation
Lifestyle
Carotid surgery
Rehab

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10
Q

Cardioembolic cause of stroke?

A

Fibrin dependent

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11
Q

A fibrin clot is what colour?

A

Red thrombus

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12
Q

What is an atheroembolic cause of stroke ?

A

Platelet dependent

Acute coronary syndrome

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13
Q

What colour is a platelet clot?

A

White thrombus

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14
Q

Secondary prevention of Stroke?

A 
Anticoagulants if cardioembolic/ AF
Antiplatelets if no cardioembolic - clopidogrel 
Stop smoking
Statins
Manage BP
Diet and lifestyle advice
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15
Q

Does AF increase risk of stroke?

A

Yes 5 fold increase in risk of ischaemic stroke

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16
Q

What score can acess risk of Stoke?

A

CHA2DS2 VASC

17
Q

The bleeding risk with aspirin is less than that of with warfarin?

A

It is the same

Ageing (7 decks)

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