Stroke - Therapy

Question 1

Explain the assessment of stroke patient treatment?

Answer 1

Check whether the patient has an ongoing neurological deficit? If no, then reinvestigate

If yes, Then has the onset been more than 4.5 hours/unkown? Arrange admission

If less that 4.5h, give CT san and contact stroke bleep.

Question 2

What are contraindications to thrombolysis?

Answer 2

Prior stroke within 3months
Hypertension
Low blood glucose

Question 3

What thrombolysis drug is used

Answer 3

Alteplase

Question 4

What surgeries are available?

Answer 4

Hemicraniectomy:
For those over 60 with acute MCA ischaemic stroke within 48hours of onset

Carotid Endarterectomy

Question 5

What is the secondary drug prevention?

Answer 5

Antiplatelets:

• Clopidogrel 75mg
• Aspirin 75g + Dipyridamole

Anticoagulant
-LMWH

Antihypertensive

• ACE-inhibitor
• ARB
• Calcium channel blockers

Statin

Wafarin