Stroke and Hyperlipidaemia Flashcards
1
Q
What are the 2 types of Stroke
A
- Ischaemiac Stroke (blood flow to brain is stopped)
- Hemorrhagic Stroke (bleeding around or in brain)
2
Q
What is Transient Ischaemic attack
A
brief interruption of blood to brain
3
Q
How to treat Transient Ischaemic atack
A
Aspirin 300mg until diagnosis
4
Q
How to treat acute Ischaemic Stroke
A
- Aspirin 300mg for 14 days
- Alteplase (4.5 hours before treatment)
5
Q
How to treat Hemorrhagic Stroke
A
Manage blood pressure
(avoid statins)
6
Q
What is the BP target for Long term management of Ischaemic Stroke
A
< 130/80
7
Q
What is the long term management of Ischaemic Stroke: 1st Line
A
1st Line:
Clopidogrel
(manage hypertension without beta blockers)
8
Q
What is the long term management of Ischaemic Stroke: 2nd Line
A
2nd Line:
Aspirin + MR Dipyridamole
9
Q
What is the long term management of Ischaemic Stroke: 3rd Line
A
3rd Line
Aspirin or MR Dipyridamole
10
Q
When should you offer Lipid Lowering agents
A
- Patients under 85 with QRISK >10
- Patients with Type 2 diabetes and QRISK >10
- All type 1 diabetes
- Patients with chronic kidney disease
- History of Hyperlcholesteroleamia
