Stroke / TIA treatment Flashcards

1
Q

Before determining whether it is a stroke or TIA what would be the first action?

A

Loading dose of aspirin 300mg

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2
Q

What would be the treatment for an ischaemic stroke?

A

Immediate treatment with alteplase IV - needs to be given as soon as possible - preferably within 90 mins of onset but if over 4.5 hours risk outweighs benefits

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3
Q

What is the newer (invasive) therapy available for clots in large vessels of the brain?

A

Thrombectomy - similar to PI in MI - Catheter is sent up through the groin and through circ to the brain where clot is pulled out. Very safe but specific skill = depends if surgeon in hospital can do it.

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