PAT 20A/B Study Guide - Final Guide: Stroke, Tissue Plasminogen Activator, Intracranial Aneurysm

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Caused by a blood clot that blocks a blood vessel or artery in the brain. Do not have a le(cid:448)el of consciousness in the first 24 hours. But may progress in the first 72 hours as. Ischemic strokes can be divided into the following 3 major subtype: . Large artery infarction: thrombotic strokes are caused by occlusions on atherosclerotic lesions in the carotid, vertebrobasilar, and cerebral arteries. Small infarcts located in the deeper parts of the brain or in the brain stem. Result from occlusion of the smaller penetrating branches of large cerebral arteries. Treatment of ischemic stroke tpa ( tissue plasminogen activator) very effective in treating acute ischemic stroke. Medications for management: : anticoagulation ( warfarin, dabigatran, antiplatelet ( asa, clopidogrel, ticopidine, reperfusion (t-pa) Acute phases of ischemic stroke-- thrombolytic therapy may be administered within 3 hours to dissolve clot . Dissolves the clot and improves blood flow to the part of the brain.

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