cluster HA abortive tx
Give this one a try later!
verapamil: prevents vasospasm. Lithium may help but levels need
monitoring.
O2 may be most effective--10-15 L/min
triptans
meds that have black box warning for increased risk of death d/t CVA in patients with
dementia
Give this one a try later!
, risperidone, olanzapine, aripiprazole
BP management in CVA
Give this one a try later!
slow reduction. lowering too fast may cause a compensatory response and
reduce cerebral perfusion more. unless SBP >220 do not mess with BP. after
acute management of CVA BP will return to baseline.
if pt gets IV rPA get BP to 141-150 to prevent hematoma expansion
if HTN meds necessary (BP >220) use labetalol or nicardipine IV then
transition to oral.
Factor V Leiden deficiency
Give this one a try later!
causes activated protein C resistance because the coag factor V is
mutated. facctor V enzyme resists breakdown by activated protein C so
increases clotting.
types of seizure
Give this one a try later!
, focal or generalized
focal: limited to one cerebral hemisphere and shows local abnormalities on
EEG. focal szr without impairment fo consciousness
generalized: initial activity in both cerebral hemispheres and involved
bilateral distriubted neuronal networks. consciousness is almost always
impaired. may be convulsive or nonconvulsive.
brudzinski sign
Give this one a try later!
patient on back and actively flexes the hips when neck is
passively flexed. _ meninjitis
asterixis
Give this one a try later!
flapping of outstretched limb. tremor of the hand when the wrist is
extended
causes of vertigo
Give this one a try later!
, peripheral: BPPV, vestibular neuronitis, acute labyrinthitis, meniere,
ototoxicity, head trauma
central: brainstem or cerebellar ischemia or hemorrhage, tumor, MS,
migrainous syndrome
Pharm management of acute CVA
Give this one a try later!
IV thrombolytic: rtPA--sooner given=better outcomes, within 4.5 hours
antiplatelets: aspirin--81-325 mg every day
coumadin, DOACs--give if cardiac embolism risk
or hypercoag state (cancer)
Plavix--might help
positional nystagmus testing (Hallpike dix Maneuver)
Give this one a try later!
observe for nystagmus with position change
LBD pathophys
Give this one a try later!
Give this one a try later!
verapamil: prevents vasospasm. Lithium may help but levels need
monitoring.
O2 may be most effective--10-15 L/min
triptans
meds that have black box warning for increased risk of death d/t CVA in patients with
dementia
Give this one a try later!
, risperidone, olanzapine, aripiprazole
BP management in CVA
Give this one a try later!
slow reduction. lowering too fast may cause a compensatory response and
reduce cerebral perfusion more. unless SBP >220 do not mess with BP. after
acute management of CVA BP will return to baseline.
if pt gets IV rPA get BP to 141-150 to prevent hematoma expansion
if HTN meds necessary (BP >220) use labetalol or nicardipine IV then
transition to oral.
Factor V Leiden deficiency
Give this one a try later!
causes activated protein C resistance because the coag factor V is
mutated. facctor V enzyme resists breakdown by activated protein C so
increases clotting.
types of seizure
Give this one a try later!
, focal or generalized
focal: limited to one cerebral hemisphere and shows local abnormalities on
EEG. focal szr without impairment fo consciousness
generalized: initial activity in both cerebral hemispheres and involved
bilateral distriubted neuronal networks. consciousness is almost always
impaired. may be convulsive or nonconvulsive.
brudzinski sign
Give this one a try later!
patient on back and actively flexes the hips when neck is
passively flexed. _ meninjitis
asterixis
Give this one a try later!
flapping of outstretched limb. tremor of the hand when the wrist is
extended
causes of vertigo
Give this one a try later!
, peripheral: BPPV, vestibular neuronitis, acute labyrinthitis, meniere,
ototoxicity, head trauma
central: brainstem or cerebellar ischemia or hemorrhage, tumor, MS,
migrainous syndrome
Pharm management of acute CVA
Give this one a try later!
IV thrombolytic: rtPA--sooner given=better outcomes, within 4.5 hours
antiplatelets: aspirin--81-325 mg every day
coumadin, DOACs--give if cardiac embolism risk
or hypercoag state (cancer)
Plavix--might help
positional nystagmus testing (Hallpike dix Maneuver)
Give this one a try later!
observe for nystagmus with position change
LBD pathophys
Give this one a try later!
