Stroke

Question 1

what are the 2 types of stroke?

Answer 1

haemorrhagic and ischaemic

Question 2

what’s the basic management of a haemorrhagic stroke?

Answer 2

manage BP and avoid statins

Question 3

what are the 2 types of ischaemic stroke?

Answer 3

TIA
full ischaemic stroke

Question 4

when is alteplase given?

Answer 4

for full ischaemic stroke within 4.5 hours of symptom onset

Question 5

whats the intial management of a TIA?

Answer 5

300mg daily until diagnosis established

Question 6

whats the inital management of full ischaemic stroke?

Answer 6

300mg for 14 days following alteplase (to be given within 4.5 hours)

Question 7

what’s the 1st, 2nd, and 3rd line treatments for ischaemic strokes?

Answer 7

1st = clopidogrel 75mg OD life long
2nd = MR dipyridamole + aspirin
3rd = MR dipyridamole or aspirin

Question 8

when do you add statins into management of ischamic stroke?

Answer 8

add high intensity stain 48 hours after ischaemic stroke