Ischemic stroke
Blockage.
Hemorrhagic stroke
Bleeding.
Thrombotic stroke
Clot forms in the brain vessel.
Embolic stroke
Clot travels from elsewhere.
BE FAST
Balance, Eyes, Face, Arm, Speech, Time.
TIA
Temporary neurologic deficit from transient blockage; still an emergency.
tPA window
4.5 hours from last known well.
Alteplase dose
0.9 mg/kg, max 90 mg.
Tenecteplase dose
0.25 mg/kg, max 25 mg.
Nimodipine use
Prevent cerebral vasospasm after SAH.
Nimodipine dose
60 mg every 4 hours for 21 days.
Secondary prevention after minor stroke/high-risk TIA
Aspirin + clopidogrel for 21–90 days, then single agent.
Post-stroke statin
Atorvastatin 80 mg.