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Pharmacy & Acute Care University
Pharmacy & Acute Care University
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Ischemic Stroke Pharmacotherapy by Deena Omar and Ashley Yeh

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  1. Introduction
    Background
  2. Risk Factors
  3. Clinical Presentation
  4. Assessment Scales
  5. Diagnostics
    Diagnosis
  6. Differential Diagnosis
  7. Treatment
    Treatment Goals
  8. Fibrinolytic Therapy
  9. Disposition/Monitoring
  10. Ischemic Stroke Literature Review
  11. Conclusion
    Pharmacists Involvement
  12. Tenectaplase vs Alteplase with Ashley Yeh and Nadia Awad
  13. Landmark Trials in Ishemic Stroke with Deena Omar and Patrick Bridgeman
  14. Ischemic Stroke Summary

Participants 118

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Ischemic Stroke Pharmacotherapy by Deena Omar and Ashley Yeh Ischemic Stroke Summary
Lesson 14 of 14
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Ischemic Stroke Summary

Jimmy October 25, 2021
  1. Evaluation 
    • Sudden onset of symptoms (BE-FAST) 
      • Last known normal: <4.5 hours to be eligible for fibrinolytic treatment 
  2. Diagnosis 
    • Rule out differential diagnosis (obtain a BG) 
    • Obtain non contrast CT of head to exclude hemorrhage 
  3. Treatment 
    • Consider past medical history to determine if patient has any contraindications to treatment 
    • If eligible may consider alteplase or Tenecteplase (this may be institution specific) 
    • Monitor for adverse effects
  4. Disposition/monitoring 
    • Admit to ICU for BP and neuro checks 

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