Stroke Overview - Rothrock

Question 1

What are the components of treating an acute ischemic stroke?

Answer 1

1. don’t lower the BP and keep them IV hydrated
2. IV tPA
3. intra-arterial tPA
4. mechanical retrieval of clot
5. “heroic” efforts aka hemispherectomy

Question 2

What do you do if your pt is herniating their brainstem?

Answer 2

hyperventilate them to reduce ICP as the PCO2 drops

Question 3

As long as the pt is not herniating, at what level do you want their PCO2?

Answer 3

high; increased blood flow and oxygen to the brain

Question 4

In acute ischemic stroke cerebral autoregulation goes away, meaning that instead of getting a buffered blood pressure the ICP is based on the…..

Answer 4

MAP

Question 5

What are the treatment measures for hemorrhagic stroke/

Answer 5

BP control and heroic measures

Question 6

What do you want the systolic below when treating hemorrhagic stroke?

Answer 6

160

Question 7

At what ages should you do angioplasty vs. endarterectomy?

Answer 7

younger than 65= angiplasty

over 65 = endarterectomy

Question 8

the effect of statins on stroke reduction is (dependent/independent) of lipid profile

Answer 8

independent!