3 Types of Strokes:
- Ischemic - cryptogenic, large artery atherosclerosis, small vessel, or cardio-embolus
- Hemorrhagic - 2 types
- Subarachnoid - usually presents with headache
No reliable way to tell the difference clinically - requires imaging
Posted 08/30/16 10:36:13 AM by Anna Krigel
- CT Head - to rule out hemorrhage
- Blood pressure - must be <185/110
- For mast majority of patients, we do not need to wait for coags to give tPA within the window
- For patients on warfarin, need INR checked - can give for INR <1.7
- Any NOAC in the last 48 hours is a contraindication regardless of coags
- Recent major surgery
Posted 08/30/16 10:57:42 AM by Anna Krigel
Carotid disease denotes the highest risk of stroke recurrence within the first 2 weeks, thus all stroke and TIA protocol includes carotid artery imaging
Posted 08/30/16 11:10:21 AM by Anna Krigel
One Minute Neuro Exam helpful for rapid evaluation for stroke:
- Follow 2 step commands
- Hold arms out for 10 seconds, legs out for 10 seconds
Posted 08/30/16 11:14:11 AM by Anna Krigel
For further reading...
Posted 08/30/16 11:15:38 AM by Anna Krigel
Created by Christopher Kelly
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