paganini
Forum Senior
Topics: 26
Posts: 159
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I agree with mms
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Mr. Physiology. An answering machine.
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| me007
Forum Guru
Topics: 72
Posts: 803
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my guess is Ca channel blocker cerebral selective Nimodipine.
usually administered in SAH to prevent vasospasm.
In this Q pt has ischemic stroke - vasodilator will help (if not kill)
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| epica
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Correct.
Now, the same Q but instead of nonhemor. will be Subarachnoid.
What is your strategy?
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| mms
Forum Junior
Topics: 1
Posts: 72
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sorry but I don't understand:
if not in fresh non hemorragic stroke, in wich case do you give tpa then?
Please could someone explain it to me? Thanks
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| me007
Forum Guru
Topics: 72
Posts: 803
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same.
What is the mechanism of hyponatremia frequently seen in SAH?
tPA within 3 h after oncet of symptoms has an advantage with respect to neurologic disabilities.
didn't know that, thanks for pointing
Edited by me007 on 03/29/07 - 12:34 PM
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| epica
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Sorry, could not see me007 Q while typed.
For Q 1 were nonhemor stroke ---- tp is correct (mms and paganini)
Q2--- Subarachn. stroke-----me 007 is correct
Can u explain Why?
Why not Manitol, me 007 will smile now
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| epica
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Ok, explanation.
1Warfarine--- not good, because it's not thrombolytic, it's anticoagulant
2.Ca cb----only for some type of strokes ( Subarachn) in which vasospasm may occur., but use of vasodilat. regvires a balancing of risk and benefits
3.tpA--- approved for ischemic stroke
4. Manitol---reduce IC pressure by osmoticaly removing water from the brain interstitium, used primary if brain edema.
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| new_n_lost
Politically InCorrect
Topics: 654
Posts: 6,112
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I guess i m late for the Party   
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| epica
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Oh, we missed you...
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