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Foundations of Clinical Practice II > Stroke > Flashcards

Flashcards in Stroke Deck (10)
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1
Q

ABCD2 Score risk score

A

Max score is 7
2 day risk of stroke

A- age 60+ (1)
B- blood pressure over 140/90 (1)
C- clinical symptoms: focal weakness (2) or speech impairment with no weakness (1)
D-duration: more than 60 mins (2), 10-59 mins (1)
D- Diabetes (1)

2
Q

What type of imaging should someone have if they had suspected stroke?

A

MRI

3
Q

What is the critical time to reperfuse the penumbra?

A

2-4 hours

4
Q

What is the window for using tPA?

A

3-4.5 hours

5
Q

Name 7 contraindications for tPA

A

-patient must be over 18

  1. Stroke or head trauma in the past 3 months
  2. Persistent BP elevation (systolic must be below 185
  3. Active internal bleeding
  4. Serum glucose <50
  5. Heparin use in the last 48 hrs.
  6. Severe stroke, NIHSS score >25
  7. > 80 years
6
Q

What are the 3 components of the Cincinnati Pre-Hospital Stroke Scale

A
  1. Smile
  2. Pronator drift
  3. “Can’t teach an old dog new tricks”
7
Q

What is the most important predictor of an ischemic problem becoming hemorrhagic?

A

size of the infarction

8
Q

What medication is prudent to give pt following subarachnoid hemorrhage?

A

CCB to treat vasospasm (ex. Nicardipine, Nimedipine)

9
Q

What would you find in CSF of a subarrachnoid hemorrhage?

A

xanthochromia = hemolyzed bood in the CSF

10
Q

What are the 3 first tier recommendations for managing a stroke (CVA) patient?

A
  1. Labs: CBC, CMP, glucose, PT/PTT
  2. EKG
  3. CT without contrast