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19 Cards in this Set
- Front
- Back
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who is at greater risk for having a stroke?
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>55 y/o
Hispanics and blacks Men>women |
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Name 2 partially modifiable risk factors
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Cholesterol
DM |
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Name some modifiable risk factors
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HTN
smokin A-fib obesity Hormone replacement therapy |
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Does taking hormone replacement therapy increase the risk of having a thromboembolytic event
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yes
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What does primary prevention consist of?
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Pt education to warning signs and reduction of the risk factors
Treatment of A-Fib |
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what are the moderate risk factors for stroke?
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65-75 y/o
Diabetic CAD |
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If your pt has only 1 risk factor, what do you prescribe?
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Aspirin 81mg daily
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If your pt has only 2 risk factors, what do you prescribe?
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warfarin and low dose ASA
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what are the high risk factors for stroke?
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>75
HTN CHF Prosthetic heart valves prior CVA TIA thromboembolism |
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how do you proceed with a pt presenting with stroke?
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1. CT- to check for type
2. If no bleed: Unfract.Heparin 3. If Bleed: avoid anticoagulants |
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what is another indication for the treatment of ischemic stroke?
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Thrombolytics
Tissue plasminogen activator(within 3 hrs of Sx) |
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what do you monitor when you give TPA?
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CBC
PT PTT |
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what is the dose of TPA?
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0.9 mg/kg/iv Max 90 mg 10% as bolus, remainder over 1 hr
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what are the contraindications of TPA
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hemorrhage
recent surgery high B/P Seizure Neoplasm Platelets <100,000 |
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name the secondary prevention
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reduction of risk factors
carotid checks antiplatelet therapy |
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What antiplatelet therapy would you give?
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ASA
ASA/Dipyridamole(aggrenox) Ticlodipine |
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where does ticlodipine work on?
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ADP pathway
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what are the side effects of ticlodipine?
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severe thrombocytopenia
neutropenia |
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if you have a second ischemic event or A-fib, what antiplatelet would you give?
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warfarin, unless there's contraindications
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