TPA inclusion exclusion criteria
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ICHHome
Intracranial Jemorrhage – home page Call NeuroSurgeon Epidural hematoma is a neurosurgical emergency arterial bleed from trauma Commonly seen in young patients Subdural hematoma Seen in older patients Acute, subacute, chronic Subarachnoid hemorrhage Intracerebral hemorrhage Check PT/INR, PTT, Platelets Keep BP systolic under 140 Special treatment plan, select from...
AISTPACandidate
TPA candidate CT head neg Glucose ok No contraindication Explained to Patient or family: verbal consent Action...
AISCTNoBleed
Stroke possible CT head no bleed Glucose ok Review TPA exclusion criteria, no contraindication Decision Last Known normal...
AISPos
Order CT head without contrast CMP, CBC, PT/INR, PTT Urine drug screen CT head result...
AISHome
Sudden onset Focal Neuro Deficit...
AIS Carotid Stenosis
Symptomatic Internal carotid artery stenosis Risk of stroke Cause of 10% of all ischemic stroke A Transient Ischemic Attack is associated with higher risk of stroke Risk is related to age, sex, degree of stenosis, presenting symptom, time since last event, smooth vs irregular plaque Carotid stenosis tool to...
AIS Antithrombotic treatment
Acute ischemic stroke (AIS) & Transient ischemic attack (TIA) Low risk TIA ABCD2 score < 4 Aspirin 325 mg now and qd High risk TIA ABCD2 score > or = 4 Use dual antiplatelet therapy (DAPT) Aspirin 325 mg + Clopidogrel 300 mg loading dose then Aspirin 81 mg...
Endocarditis
Overview Inflammation of endocardium Non infective endocarditis Lieman Sacks Endocarditis from SLE, from autoimmune disease Bacterial endocarditis – bacterial enters blood stream Skin: iv catheter, iv drug – Staph Gums: dental procedure, V Strep Guts: colon cancer, ulcerative colitis – Enterococcus Most commonly affected Mitral valve Aortic valve Risk...
MCMC-RN
updated 08/15/2020 This is just the slides, no audio. Your can also click on on this link for full video from March 2020 Acute Stroke for RN Mar 2020 video...