Term
| Atrial fib (EKG, clinical) |
|
Definition
rapid, irregular, no p waves
-dx w EKG,
-clinical features: dizziness, syncope, dyspnea, palpitations |
|
|
Term
| Acute management of suspected stroke |
|
Definition
ABCs
Neurological assessment
Emergency CT
IV tPA if
-no CT finding (ICH is contraindication)
-dont wait on other labs unless bleeding disorder suspected or pt is on heparin/warfarin |
|
|
Term
|
Definition
Aspiration pneumonia, malnutrition/dehydration and pressure sores
Also: Post-stroke depression |
|
|
Term
| DDx of acute unilateral weakness |
|
Definition
Brain tumor (focal neuro signs will persist)
Seizure disorder (post ictal period is k)
Stroke (TIA<1hour)
Coronary Artery Disease (AFib)
Medications (thiazides, neuropileptics) |
|
|
Term
|
Definition
IV diltiazem (ca channel blocker), IV betablockers or verapmil
Cardioversion |
|
|
Term
| Secondary Stroke Prevention |
|
Definition
Non-cardioembolic stroke/tia: asprin, asprin+dipyridamole (better than asprin alone), ticlopidine, clopidogrel (use in asprin sens patients)
Cardioembolic: long-term anticoagulation w/ warfarin
-control lipids, HTN, stop smoking, lifestyle |
|
|
