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19 Cards in this Set
- Front
- Back
indication for carotid endarterectomy |
>70% stenosis within 6 months of stroke/TIA (no indication if 50%) |
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stroke prevention |
Asprin, clopidogrel, dypiramidole |
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cardioembolic stroke/TIA prevention (like, if patient has A.Fib***) |
Warfarin with INR target of 2.5, ASA is used ONLY if warfarin is contraindicated |
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rheumatic mitral valave dz |
warfarin |
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MVP |
nothing!!! |
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prosthetic heart valve |
warfarin, INR target at 3.0 |
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meds after carotid artery dissection |
warfarin for 6 months, then antiplatelets |
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ischemic stroke management |
-let the BP run high for a few days, only treat it if its over 220/120 |
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if BP is too high, what is the risk? |
cerebral edema, hemorrhage |
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what is used to decrease BP |
IV Labetelol, or nicardipine, or NaNitroprusside for diastolic |
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what if you gave tPA, then what do you look for with BP |
treat if over 180/105 and monitor very closesly!! |
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target range for glucose |
100-150 (hypoglycemia can worsen strokes) |
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management of acute AFib if patient is hemodynamically unstable |
adenosine or cardioversion |
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management of cerebral edema |
mannitol or hypertonic saline |
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blood is white (bright) |
CT |
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good visualization of posterior fossa |
MRI |
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T1 MRI |
good for anatomy |
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T2 MRI |
good for pathology |
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MRI DWI |
ischemia even for 1 week |