doc_clotaire
Forum Guru
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ASA-------------is used as first line prevention for acute ischemic stroke and has been shown to reduce morbidity and mortality in atherosclerotic stroke . If patient is allergic to ASA or had a stoke while on ASA , use dypiramidole or clopidrogrel .
Heparin -------- used only in acute ischemic stroke in patients with higher risk of recurrent stroke like AF , basilar artery thrombosis and stroke in evolution because of the risk of intracranial hemorrhage
Carotod endarterectomy ----- if occlusion is more 70 % and symptomatic
Any input is WELCOME !
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| docnikki
Forum Guru
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thanks Doc_clotaire,
Just one thought...if stroke is in evolution by giving heparin won't we increase the risk of hmge? thanks.
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| doc_clotaire
Forum Guru
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You are welcome nikki !
I agree with you that there is a slight increase risk of hemorrhage if patient is having a stroke in evolution but I think the risk of this adverse effect is offset by the benefit of the treatment .
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The elevator to succes is broke ,you must take the stairs
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| sherry39
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asa n heparin after stroke...if you are suspecting narrowing or for the management of other side vessel.,u do endartectomy before stroke...once stroke occured...note time n type..if time<3 hr or stroke in evoluton do thrombolysis woth tpa...if >3hr or complete stroke.,or any cntraindication to thrombolysis.,give heparin n follow wid asa
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