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Neurology - Stroke
Types of Strokes
Transient Ischemic Attack (TIA)
Reversible Ischemic Neurologic Deficit (RIND)
Circle of Willis
Anterior Cerebral Artery (ACA) Supplies Motor/Sensory Parts of the Cortex for Lower Extremities
Anterior Communicating Artery (Acomm) Connects ACA to ACA
Internal Carotid Arteries (ICA)
Middle Cerebral Arteries (MCA) Supply Cortex for Upper Limbs and Face
Posterior Communicating Artery (Pcomm) Connects ICA to PCA
CHA2DS2-VASc for Stroke Risk in Atrial Fibrillation
Age 75 + (+2)
Stroke or TIA or Thromboembolism History (+2)
Vascular Disease (+1)
Age 65-75 Years (+1)
Sex Female (+1)
0 = No Anticoagulation
1 = Consider Anticoagulation
2 = Anticoagulation
Tissue Plasminogen Activator
Monitor for Shock
Pain and Headache
Cardiovascular Disease (CAD)
Mechanism of Action
Irreversible inhibition of COX-1 and COX-2
Suppress Thromboxanes and Prostaglandins
ADP Receptor Antagonist
Prevent Platelet Aggregation
Acute Coronary Syndrome (ACS)
Prevention of Thrombotic Events
Thrombotic Thrombocytopenic Purpura (TTP)
Withhold Before Surgery
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