Treatment of Stroke

Question 1

How many neurons does the brain loose in a minute when stroking?

Answer 1

-1.9million

Question 2

At what time do the risks outweigh the benefits?

Answer 2

4.5 hrs

Question 3

Is haemorrhage after thrombolysis expected?

Answer 3

not usually

Question 4

What are risk factors for haemorrhage after thrombolysis?

Answer 4

• age
• infarct size
• stroke severity
• vessel occulsion
• tissue change
• diabetes
• antiplatelets
• blood pressure

Question 5

What are the contradictions to using thrombolytic agents?

Answer 5

• Age

- Licence currently limited to <80yr

Question 6

What should be used secondary prevention?

Answer 6

-Clopidogrel 75mg
or
Aspirin 75mg plus dipyridamole MR 2000mg

Statin

Blood pressure drugs, even if blood pressure is in normal range

Question 7

If carotid is stenosed by 50-69% what is the reduction of risk of death by stroke after 5 years ?

Answer 7

7-9%

Question 8

If carotid is stenosed by <70% what is the reduction of risk of death by stroke after 5 years ?

Answer 8

14-19%

Question 9

How you can harm someone with a stroke?

Answer 9

Cause unexpected bleed in brain or elsewhere

Question 10

What is alteplase?

Answer 10

Fibrinolytic agent

Question 11

Patients with a suspected stroke should have:

Answer 11

• Ambulance priority (blue light) in appropriate cases
• Rapid triage on arrival at hospital
• immediate access to specialist stroke services
• Rapid brain imaging
• Rapid specialist assessment