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Flashcards in 4 Stroke Deck (26):
1

Medical risk factors 6

Hypertension
AF
Chol
IHD
Artery disease
HRT? (Unsure but not recommended)

2

Non modifiable risk factors 5

Age
Gender
Family history
Genetic conditions
Afro-carabbean

3

Risk assessment tool for stroke is called.....

Chadsvasc

4

Risk assessment score for PE/DVT is called

Well's

5

3 primary prevention of stroke treatments
Pharmacological

Lipid lowering drugs
Control of hypertension
Anticoagulation with other risk factors such as AF

6

Primary prevention treatments non-pharmacological
3

Diet, exercise, weight management

Somking
Reduce alcohol intake

7

Pateints with AF are .... times more likely to have a stroke

Five

8

Chadsvasc do you score someone for hypertension if it is controlled?

Yesssss

9

Modifiable risk factors 5

Smoking
Alcohol
Raised bmi
Fatty diet
Sedentary

10

Which to initiate first, OAC or anti hypertensives in AF

Anti hypertensives

11

What is first line treatment for AF

RATE CONTROL
Beta blocker
Or
Rate limiting CCB

12

What is second line for AF

Dual therapy:
Beta blocker plus digioxin

NOT BETA BLOCKER WITH CCB - heart block
(You could use CCB and digoxin in think...)

13

Third line for AF

RYHTHM CONTROL
Elective DC conversion
• Bisoprolol
• Amiodarone
• Flecainide or Sotolol
• Dronedarone?

14

Amioderone shown to be benifical with warfarin but....

There is a interaction so INR is likely to be unstable while loading

15

What score is used to assess risk of stroke post Tia?

Abcd2

16

Post Tia would would also check

Heart rate (for AF)
Glucose
BP
You might ct scan if you suspect another problem
Smoking status

17

What to do if someone with AF presents with a stroke

You still need to rule out the bleed so withhold antiplatelets and anticoagulants

18

Therapies to prevent recurrent Stoke 6

Antiplatelets
Blood pressure
Statins
Carteroid endarterectomy
Anticoagulants (with AF)
A smoking

19

What long term anti platelet is given for stroke

Clopidogrel

20

Post stroke what to change from aspirin to something else

After 14 day change to anticoagulants if with AF
(If without AF they should just have clopidogrel,

NO FUCKING ANTICOAGULANTS)

21

When after a stroke can you start messing with other patient meds

48 hours

22

Bonus stuff to assess in stroke?

SALT for swallow

23

Stroke in diabetic patient? 2

Remember to rule out hypo

Consider VRIII if they can't eat

24

Why don't we treat BP in the first two weeks after stroke?

We don't want to reduce cerebral perfusion as this could result in brain damage.
If they are normally on anti hypertensives you could continue unless hypo.

25

What do you do about the risk of DVT during admission for a stroke?

There are special guidelines so you might use these.

26

Medicines you would expect for ACS Event?

Aspirin
Clop for one year
Beta blocker
Statin
Ace