Stoke Flashcards
(28 cards)
TIA?
temp blockage
Last less than 20 mins
Resolves in 24 hours
Sudden onset
Tia symptoms
Dysphasia
Unilateral weakness
Loss of vision in one eye
Loss of vision in the same half of both eyes
The 2 types of strokes
Ischemic and hemorrhagic
All types of strokes last longer than…
24 hours
Ischemic stroke?
Blcokage in the artery which supplies blood to the brain
Blockage can be caused by:
• atherclerosis
• thrombus or embolism
Symptoms
Less sudden onset
Symptoms similar as Tia but more N&V or headaches
Hemorrhagic stroke?
Rupture or leave of blood vessel
Symptoms?
SEVERE HEADACHE!!
Nausea and vomiting, loss of consciousness
What can Mimi strikes
Hypoglycemia
Severe headaches
Syncope
Sepsis
TIA
Management 1st line?
300mg Aspirin OR if CI Clopidogrel within 7 days
If imaging required?
No
What class of drugs are used in the secondary/ prevention of TIA
Antiplatlets
Statin
Antihypertensives
Secondary prevention - drugs?
Remember these are the same for ischemic secondary prevention
Antiplatlets
- clopidogrel, if CI
- Aspirin + MR dipryidamole, if eitheir ci
- Aspirin or MR dipryidamole
Stains
- atorvastatin 20-80mg
Antihypetensives
- thiazide
- ACEI/ARBs
- CCB
NOT BB
Blood pressure target
< 130/80
Which scans are used in strokes in general
CT
MRI
Which is preferred in TIA
MRI
Which is preferred in ischemic or hemorrhage
CT
Immediate management of ischemic strike
Alteplase
Whithin how many houses if symptoms on set should it be used
4.5hrs
What should be rules out before giving this
Hemorrhagic stroke
If Alteplase annnot be given what should be done next
Thrombectomy
Within how many hours of symptom onset
6hrs
After their of those are given what is the initial management
300mg aspirin within 24hours
For how many days
14
