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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%)

stroke prevention

Asprin, clopidogrel, dypiramidole

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

rheumatic mitral valave dz

warfarin

MVP

nothing!!!

prosthetic heart valve

warfarin, INR target at 3.0

meds after carotid artery dissection

warfarin for 6 months, then antiplatelets

ischemic stroke management

-let the BP run high for a few days, only treat it if its over 220/120

if BP is too high, what is the risk?

cerebral edema, hemorrhage

what is used to decrease BP

IV Labetelol, or nicardipine, or NaNitroprusside for diastolic

what if you gave tPA, then what do you look for with BP

treat if over 180/105 and monitor very closesly!!

target range for glucose

100-150 (hypoglycemia can worsen strokes)

management of acute AFib if patient is hemodynamically unstable

adenosine or cardioversion

management of cerebral edema

mannitol or hypertonic saline

blood is white (bright)

CT

good visualization of posterior fossa

MRI

T1 MRI

good for anatomy

T2 MRI

good for pathology

MRI DWI

ischemia even for 1 week