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Acute Ischemic Stroke Diagnosis and Management

#Ischemic #Stroke #Acute #Diagnosis #Management #Workup
Acute Ischemic Stroke ... Diagnosis and Management ... #Ischemic #Stroke ... #Acute #Diagnosis ... #Management #Workup
Acute Ischemic Stroke Management

 • Initial Assessment
 • BP/Temp/BG
 • IV Alteplase
 • Tx of ICB
Acute Ischemic Stroke ... Management ... Kfischer_10 #Acute ... #Ischemic #Stroke ... #Management #CVA
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... in acute ischemic ... stroke - Timeline ... Hypertension #CVA #Stroke ... #ischemic #Timeline
Ischemic Stroke - Blood Pressure Management
 • No tPA  < 220 / 120 (permissive hypertension)
Ischemic Stroke ... Blood Pressure Management ... Medicine @SCVMCMed #Ischemic ... #Stroke #BloodPressure ... #treatment #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Stroke Etiologies ... Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute ... - Strong Medicine ... #causes #differential
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
manifestations of COVID ... Myalgia, Anosmia, Stroke ... • Renal: Acute ... shock, Myocardial ischemia ... , Acute cor pulmonale
Hypertensive Emergency and Hypertensive Crisis - Blood Pressure Targets
 • Hypertensive Emergency
 • Ischemic Stroke (w/
Emergency • Ischemic ... Stroke (w/ tPA, ... • Hemorrhagic Stroke ... Targets #Goals #management ... #treatment #HTN
Alteplase (t-PA) for Acute Ischemic Stroke: 
Dosage, Mixing, and Administration Instructions

#TPA #Thrombolytics #Stroke #CVA #Dosage #Dosing
Alteplase (t-PA) for Acute ... Ischemic Stroke ... Thrombolytics #Stroke ... #Pharmacology #Management
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Clinical diagnosis of ischemic ... stroke • Measurable ... present, in which case ... incomplete list): • Ischemic ... #cva #management
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