21 results
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... in acute ischemic ... stroke - Timeline ... #management #ischemic ... #Timeline #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute ... artery dissection, Hypotension ... #causes #differential ... #diagnosis #neurology
Ischemic Stroke - Blood Pressure Management
 • No tPA  < 220 / 120 (permissive hypertension)
Ischemic Stroke ... Blood Pressure Management ... #hypertension # ... Management #treatment ... #neurology #medications
Acute Ischemic Stroke Management

 • Initial Assessment
 • BP/Temp/BG
 • IV Alteplase
 • Tx of ICB
Acute Ischemic Stroke ... Management ... #Ischemic #Stroke ... #Management #CVA ... #neurology
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Outpatient Hypertension ... Management Algorithm ... Hemorrhage • Acute ... Ischemic Stoke* ... #Management #Algorithm
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... subarachnoid hemorrhage Ischemic ... • Watershed: Hypotension ... #neurology #treatment
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Immediate Workup Ischemic ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
ICP: MAP > 80 Acute ... Ischemic Stroke ... Ischemic Stroke ... targets #goals #management ... #hypertension #
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
functions - Aphaso-apraxo-agnosia ... Frontotemporal dementia ... Unique or multiple ischemic ... stroke - Amyloid ... #Differential #
Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor
clopidogrel for acute ... risk transient ischaemic ... attack and minor ischaemic ... risk TIA or minor ischaemic ... #Neurology #Management