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Ischemic Stroke: Treatment

by Carlo Raj, MD
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    About the Lecture

    The lecture Ischemic Stroke: Treatment by Carlo Raj, MD is from the course Stroke (Cerebrovascular Accident). It contains the following chapters:

    • Treatment of Ischemic Stroke
    • Tissue Plasminogen Activator - tPA
    • Secondary Prevention
    • Ischemic Stroke: Summary

    Included Quiz Questions

    1. Time elapsed during the transfer of the patient to hospital.
    2. Age of the patient does not fit the criteria for tPA administration.
    3. He is a IV drug abuser.
    4. CT findings does not support administration of tPA.
    5. Clinical diagnosis was ischemic stroke.
    1. The PT must be monitored regularly to achieve desired therapeutic range
    2. Heparin is used in strokes caused due to dissection of the blood vessels.
    3. Heparin is used in the strokes caused due to atrial fibrillation.
    4. Heparin can complicate ischemic strokes by causing hemorrhage.
    5. Heparin is a rapidly acting natural anticoagulant.
    1. 12 weeks since the patient had a previous stroke.
    2. 8 weeks since the patient had a previous myocardial infarction.
    3. 4 weeks since the patient underwent arthroplasty.
    4. 4 weeks since the patient had a bout of hemetemesis
    5. 4 weeks since the patient underwent lumbar puncture at non compressible site.
    1. Patient had a myocardial infarction 8 months ago.
    2. Patient having an arterio-venous malformation.
    3. Patient had a stroke in the past 12 weeks.
    4. Patient had a major road traffic accident 2 weeks ago
    5. Patient had genito-urinary bleed 2 weeks ago
    1. Platelets - 40000 cells/cumm
    2. PT-16 seconds and aPTT -40 seconds
    3. Glucose - 80gm/dl
    4. NIHSS - 10
    5. Systoiic blood pressure- 126mm/Hg and diastolic blood pressure -88mm/Hg
    1. Antifibrinolytics drugs
    2. Thromboxane A2 inhibitor drugs
    3. GP IIb/IIIA complex inhibitor drugs
    4. Phosphodiesterase enzyme inhibitor drugs
    5. Anticoagulant drugs

    Author of lecture Ischemic Stroke: Treatment

     Carlo Raj, MD

    Carlo Raj, MD


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    Decent but flesh out the management
    By Hamed S. on 16. March 2017 for Ischemic Stroke: Treatment

    I enjoyed the series on ischaemic stroke but it would have been great to discuss in more depth the secondary management of stroke in particular blood pressure targets and agents with the most supportive evidence for use (e.g ACE-I). I also note that there was an omission about the best way to manage BP in the acutely hypertensive patient post stroke. Despite theses as always good taster of the topic. I appreciate the challenge of work that goes into producing these contents