EMS Module 4: Ischaemic stroke treatment options
You will learn to understand:
- The process of diagnosing an Acute Ischaemic Stroke.
- The early implementation of thrombolytic therapy.
- How rtPA works and its use in Acute Ischaemic Strokes.
- The principles of endovascular therapy and its benefits in severe strokes, as performed at qualified stroke centres.
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1. What scan should be done immediately for an acute stroke patient?
2. What is the time frame for treatment with thrombolysis, from symptom onset?
3. What are the available treatment options for AIS patients?
4. What is the only drug licenced for the treatment of acute ischaemic stroke?
5. What are the indications for rt-PA?
6. On what part of the thrombus is rt-PA specific to?
7. The effect of rtPA is time dependent, the sooner you treat the greater the benefit to your patient. What is the NNT for a patient arriving <3hrs from time of onset.
8. Which one of the following is a contra-indication for Alteplase?
9. Stroke patients often die from the complications associated with strokes. What is the most frequent complication?
10. Treatment of stroke is the main responsibility of: