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Neuro DRT: Study Set Complete With Solutions
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Neuro DRT: Study Set Complete With Solutions
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Neuro DRT: Study Set Complete With SolutionsTIA management Right Ans - - Initiate aspirin + clopidogrel (antiplatelet therapy) - OR, if an embolic source is found, initiate anticoagulation
tPA time frame to be given Right Ans - 3-4.5 hours
What MAP for cerebral vasospasm? Right Ans - Map 110-130mmhg
Calculating MAP Right Ans - (SBP + 2DBP)/3
Normal ICP Right Ans - 5-15 mmHg
Elevated if >20
Difference between simple partial and complex partial seizure? Right Ans - complex - loss of consciousness
Seizure management if BG <60? Right Ans - Thiamine 100mg IV and 50ml of D50
Initial seizure therapy options: (5-20MIN) Right Ans - Midazlam
lorazepam
diazepam
--Repeat once--
Can do IV phenobarb if not availiabile.
Second therapy seizure phase meds (20-40MIN) Right Ans - IV fosphenytoin
Valproic
levetiracetam
---SINGLE dose000
Can do IV phenobarb if not available
Third therapy (40-60MIN) Right Ans - Repeat 2nd therapy
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