Stroke Management

Question 1

What should be given immediately after exclusion of haemorrhagic stroke?

Answer 1

aspirin 300mg

Oral or rectal

Question 2

In ischaemic stroke, when should alteplase be given?

Answer 2

Within 4.5 hours of onset (only when haemorrhage has been excluded)

Question 3

What are the absolute contraindications of thrombolysis?

Answer 3

Previous intracranial haemorrhage
Seizure at onset of stroke
Brain injury in the past 3 months
Lumbar puncture in the last week
GI bleed in last 3 weeks
Active bleed
Pregnancy
Oesophageal haemorrhage
Uncontrolled HTN (>200)

Question 4

For what type of stroke may thrombectomy be indicated?

Answer 4

Proximal anterior circulation

Question 5

Which antiplatelet is recommended for secondary prevention of stroke

Answer 5

Clopidogrel