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19 Cards in this Set

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