Neurocritical Care

Question 1

Treated with tPA target BP at 24H?

Answer 1

180/105

Question 2

Severe HTN target BP?

Answer 2

SBP >220

DBP >120

Question 3

Blood glucose in AIS?

Answer 3

140-180 mg/dL

Question 4

Cytotoxic edema after stroke?

Days

Answer 4

3-4 days

As early as 24H with early reperfusion

Question 5

IV tPA hemorrhagic conversion rate?

Answer 5

5-6%

Question 6

Surgical if hematoma size in ICH + neurologic deterioration?

Answer 6

3 cm diameter

Question 7

Normal volume status

Fluid restriction
Na supplementation

Answer 7

SIADH

Question 8

Volume depletion
Isotonic saline
Na supplementation

Answer 8

CSW

Question 9

Vasospasm occurs after aSAH

Days

Answer 9

D3-14 after rupture

MCA MFV >200 cm/sec

Question 10

Lindegaard ratio?

Mild
Moderate
Severe

Answer 10

MCA velocity / extracranial ICA velocity

3.5-4.5
4.5-6
>6

Question 11

LVD
ECG changes
Elevated cardiac enzymes

Answer 11

Neurogenic stunned myocardium

Question 12

Tx for Neurogenic stunned myocardium

Answer 12

Dobutamine

Milrinone

Question 13

SCI level causing
Loss of sympa innervation
Hypotension
Bradycardia

Answer 13

T1-T4

Question 14

MAP target for above T1-T4 injury

Answer 14

85-90 mmHg x 7 days

Question 15

Diaphragm weakness

Answer 15

C3-C5 injury

Question 16

Mean intubation for C3-C5 injury

Answer 16

5 weeks