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Flashcards in stroke Deck (26):
1

a stroke process without cell death

transient ischemic attack

2

after unk cause, where are ischemic strokes most likely to occur?

large vessel, small vessel (lacunar)

3

stroke d/t deep penetrating vessels

lacunar strokes

4

major risk factors of lipohyalinosis (3)

1. HTN
2. age
3. DM

5

what is the #1 determinant of stroke

age

6

stroke to the thalamus; presents with pain syndrome

dejerine roussy

7

subarachnoid hemorrhage is most often d/t_____

rupture of intracranial saccular aneurysms

8

sudden severe HA, LOC, focal neuro signs

subarachnoid hemorrhage

9

CSF will be ______in subarachnoid hemorrhage

xanthachromic

10

how to check for vasospasm

transcranial doppler

11

post subarachnoid hemorrhage, risk for vasospasm is greatest when?

day 4-21

12

tx to give to decr risk of vasospasm after subarachnoid hemorrhage

nimodipine

13

the etiology of hyponatremia in subarachnoid hemorrhage is_____

cerebral salt wasting

14

hyponatremia is most likely when after subarachnoid hemorrhage

day 3-7

15

what is the most modifiable risk factor for stroke

HTN

16

antiplatelet agents are used for primary or secondary stroke prevention

secondary

17

warfarin is used for primary or secondary stroke prevention

primary

18

used to prevent strokes in those with A fib or with mechanical valves

warfarin (coumadin)

19

what may be superior to warfarin (3)

1. diabigatran
2. rivaraoxaban
3. apixaban

20

which area are we trying to save when someone presents with a stroke (which tissue is at risk?)

penumbra (core is already dead)

21

what is the first test to order when a patient presents with stroke sx?

head CT w/o contrast

22

tx of choice in acute ischemic stroke

IV tpa

23

time window in which tpa can be given in acute ischemic stoke

4.5 hrs

24

4 classic sx of lacunar strokes

pure motor, pure sensory, (mixed), clumsy hand dysarthria, ataxia hemiparesis

25

Leading cause of neuro mortality in first 24h in subarachnoid?

rebleed

26

Greatest risk in subarachnoid 4-21 d? TX to help outcome? TX to prevent?

risk of vasospasm; tx with Nimidopine; prevent with Triple H therapy (induce HTN, hypervol, hemodilution) all AFTER treating clot