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