Vasopressors in ischemic stroke
I had a recent case where a woman who is chronically uncontrolled hypertensive presented to ED with ‘hypertensive urgency’. Her BP was about 220 systolic. Pt got started on IV antihypertensives gtt and then SBP plummeted to 90s. She then became unresponsive.
Moved to ICU. MRI shows bilateral mutiple infarct anterior and posterior circulation. Thought embolic or watershed. SBP now 100s. Getting fluids and has AKI.
I am thinking watershed infarcts from hypotension. How aggressive would you...
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Source: Student Doctor Network - November 26, 2022 Category: Universities & Medical Training Authors: Nephro critical care Tags: Neurology Source Type: forums
Med mal case question
I have just settled a medical malpractice lawsuit (ischemic stroke, not a tPA candidate, bad outcome after mechanical thrombectomy) for 200k. Per my lawyer, the next step is a Department of Health investigation.
Does anyone have experience with this? Not sure what to expect.
Any advice would be appreciated. Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2021 Category: Universities & Medical Training Authors: PabsMD Tags: Emergency Medicine Source Type: forums
Hypertensive crisis or “elevated” bp
For ICU/PCU patients in hypertensive crisis in the context of conservative ischemic stroke management, let’s say hypothetically the patients’ vitals have been described thus by nursing: “blood pressures have been elevated.” 😬“Elevated” is a specific range of systolic 120-129 with diastolic over 80....so... If we’re talking about patients in the 200s/100s, how is that designation of “elevated” even nearly legit or helpful from nursing? This seems like it could be a serious incompetence...
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Source: Student Doctor Network - June 29, 2021 Category: Universities & Medical Training Authors: nikolaite Tags: Critical Care Source Type: forums
Re: Management of acute ischemic stroke
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Source: BMJ Comments - October 30, 2020 Category: General Medicine Source Type: forums
Younger HRT initiators were at increased risk of stroke, transient ischaemic attack and systemic embolism
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Source: BMJ Comments - October 21, 2019 Category: General Medicine Source Type: forums
Re: Risks of ischaemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study
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Source: BMJ Comments - September 10, 2019 Category: General Medicine Source Type: forums
Re: Ticagrelor plus aspirin versus clopidogrel plus aspirin for platelet reactivity in patients with minor stroke or transient ischaemic attack: open label, blinded endpoint, randomised controlled phase II trial
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Source: BMJ Comments - June 10, 2019 Category: General Medicine Source Type: forums
Re: Endovascular treatment versus medical care alone for ischaemic stroke: systematic review and meta-analysis
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Source: BMJ Comments - March 22, 2019 Category: General Medicine Source Type: forums
Re: Acute dual antiplatelet therapy for minor ischaemic stroke or transient ischaemic attack
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Source: BMJ Comments - March 7, 2019 Category: General Medicine Source Type: forums
Antiplatelet for acute minor ischaemic stroke or high risk TIA (Authors response)
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Source: BMJ Comments - January 29, 2019 Category: General Medicine Source Type: forums
Re: Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: a clinical practice guideline
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Source: BMJ Comments - January 23, 2019 Category: General Medicine Source Type: forums
Re: Clopidogrel plus aspirin versus aspirin alone for acute minor ischaemic stroke or high risk transient ischaemic attack: systematic review and meta-analysis
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Source: BMJ Comments - January 15, 2019 Category: General Medicine Source Type: forums
Re: Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: a clinical practice guideline
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Source: BMJ Comments - January 14, 2019 Category: General Medicine Source Type: forums
