Flashcards in Exam 3 Cerebrovascular Dz Management Deck (17):
Goals of stroke therapy? (3)
Address acute event
Prevent toxic cascade
Stroke studies? (6)
Acute mgmt of CVA?
Avoid hypotonic fluids (D5W)
Management of BP during CVA, when?
Want how much of a drop?
What med is contraindicated?
DOC = IV Labatolol
NOT more than 20%
Cranial CT done why?
MANDATORY to r/o hemorr stroke
Rapid assessment of stroke/CVA should include?
What studies? (4)
Rapid assessment of stroke/CVA labs should include? (7)
Tox screen w/ blood etoh
Stroke/CVA coagulation addressed how?
Assess for recombinant tissue-type plasminogen activator (rt-PA)
If not rt-PA ok, Heparin/Warfarin
rt-PA contraindicated when? (7)
Uncontrolled HTN (>185-110)
Head trauma w/i 3 mo
Intracranial hemorr hx
Gi or GU hemorr w.i 3 wks
Major surgery w/i 2 wks
Anticoag therapy or coagulopathy hx
Heparin loading dose?
Maintain PTT @ 1.5 x control
Anti-platelet meds used when? (2)
Small vessel dz
Hx of Transient Ischaemic Attack (TIA)
Anti-platelet meds? (4)
Warfarin if others fail
Statins used when?
Acute phase of stroke after IV thrombolysis
Tx for Intra-arterial Thrombolysis?
Small dose of rt-PA into clot
Carotid Dz indications for surgery?
Lesions causing >70% stenosis
↓ risk of stoke