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Neurologia > AVEi > Flashcards

AVEi Flashcards

1
Q

AVEi

Relação incidência c/ hemorrágico

A

80% AVEi

20% AVEh

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2
Q

AVEi

Fatores de risco

A

Cigarro
HAS(Tiazídicos controla pra esse caso)
FA

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3
Q

AVEi

Tipos

A

Lacunar(“lagos,”cistos)

Cardioembolico

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4
Q

AVEi

Processo de formação de edema

A

Célula com hipoxemia-> Retenção de Na e Ca, Na concentra água e edemacia a célula(edema citotóxico)/ Ca induz apoptose, com inflamação(edema vasogenico).

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5
Q

AVEi

Trombólise

A

Trombólise por acesso venoso-> rtpa-alteplase

Em 1h, cerca de 50% pacientes não respondem

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6
Q

AVEi

Quadro clinico

A

Deficit neurológico focal súbito
Face
Movimentação
Fala

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7
Q

AVEi

SAMU(mnemônico)

A

Sorrir
Abraçar
Musica(cantar)

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8
Q

AVEi

Funçao da TC(nas primeiras horas)

A

Diferenciar de AVEH e outras etiologias

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9
Q

AVEi
Ressonância
Difusao
Perfusao

A

Difusao(Area isquemiada)

Perfusao(Penumbra)

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10
Q

AVEi

Outras causas de deficit súbito

A

Hipoglicemia/ Hiper

AVEH

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11
Q

AVEi

Tempo máximo para trombólise

A

4h30

risco de sangramento x beneficio aumenta

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12
Q

AVEi

Contraindicações absoluta trombólise

A 
AVCH anterior
Sangramento ativo
Coagulopatia
Uso de anticoagulante
Tumor SNC
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13
Q

AVEi

Escala

A

NIIH

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14
Q

AVEi

PA máxima para trombólise

A

185x110mmHg

180x105mmHg(apos trombólise)

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15
Q

AVEi

Pa máxima em caso de não trombólise

A

220x120mmHg

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16
Q

AVEi

Trombectomia realização

A

Tempo ideal de ate 6h

Até 16h pode realizar

17
Q

AVEi

Medidas suporte

A 
Temperatura
Glicemia
PA
Antiagregante(depois das 24h)
Estatina
18
Q

AVEi

Outros exames

A

AngioTC
Eletro
Dopler de carotida

Neurologia (12 decks)

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