Ischemic Stroke Diagnosis and Management Flashcards Preview

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Flashcards in Ischemic Stroke Diagnosis and Management Deck (5):
1

First task in evaluating a presumptive stroke pt

stabilize all vital signs

2

Diagnotic work up for stroke pt?

- EKG with rhythm strip
- Chest x-ray to evaluate heart size
- CBC with differential and platelett count
- Chemistry profile (glucose, BUN, electrolytes)
- Lipid profile
cliotting times
Head CT without contrast

3

Head CT scans begin to detect infarcts stemming from ischemic stroke in what time frame

6-12 hours...Thus, the head CT is highly sensitive to hemmorhage and thus is indicated in all patients presenting with stroke symptoms to rule out hemorrhagic stroke.

4

What type of radiological study is very sensitive to early ischemic changes due to stroke....KNOW!!!

MRI Diffusion Weighted Images (MRI DWI) to detect early ischemic change

5

Acute treatment of stroke: Less than 4.5 hr from syptom onset?

- Treat with IV tPA

- IF less than 6 hours from symptom onset treat with intraARTERIAL tPA.

-If less than 8 hours from symptom onset retrieve clot