What are the different waited patiently and present with occlusive stroke?
Thrombotic (diabetes obesity the smoker peripheral vascular disease).
Dissection, young female with neck pain
Embolic a fib with vascular disease
How is occlusive stroke diagnosed?
CT scan to rule out clean
MRI (TPA before MRI acute)
When can TPA be giving to occlusive stroke patients?
In less than three hours if diabetic, in less than 4 1/2 hours if not diabetic
What precludes giving a stroke patient TPA?
Never had a brain bleed, no recent G.I. bleed, no surgery within 21 days, no trauma
What is first line for stroke prophylaxis after initial episode?
What should be added to a stroke patient who is already on aspirin⁉️
What should be given to a stroke patient if aspirin is not tolerated?
When his warfarin given to stroke patients?
Embolic stroke patient with a fib
How is hemorrhagic stroke diagnosed?
Noncontrast CT scan
How does hemorrhagic stroke present?
Worst headache of life, focal neurologic deficit
How was hemorrhagic stroke treated?
Neurosurgery, MAP <110
What are the comorbidity guidelines for a patient with stroke? What medications can be given to manage risk factors?