What are the guidelines for antiplatelet and fibrinolytic therapy in stroke?

Answers

Answer 1

Within one hour of your arrival and three hours after the onset of symptoms, if the patient is still a candidate for fibrinolytic therapy, go over the risks and advantages of the treatment with the patient and their family. Give the patient rtPA and refrain from giving them anticoagulants or antiplatelets for 24 hours if they consent to the treatment.

Blood clots that have erupted and suddenly clogged your veins or arteries can be broken up using fibrinolytic therapy. It enhances blood flow and guards against organ and tissue harm. This emergency treatment should be administered as soon as possible after a stroke or heart attack for the best outcomes. Within 24 hours of the onset of symptoms, antiplatelet medication should be started as soon as feasible after brain imaging has ruled out bleeding (ideally within 12 hours).

It has not been demonstrated that dual antiplatelet therapy (DAPT) provides a long-term advantage over single antiplatelet therapy (SAPT) in patients with intracranial artery stenosis in terms of preventing recurrent stroke. In order to compare the effectiveness and safety of DAPT with cilostazol and clopidogrel or aspirin to those of SAPT with clopidogrel or aspirin, we looked at patients with intracranial arterial stenosis who were enrolled in the Cilostazol Stroke Prevention Study for Antiplatelet Combination trial, a randomised controlled trial in high-risk Japanese patients with ischemic stroke. Results and Methods We examined the vascular and hemorrhagic events between DAPT and SAPT in ischemic stroke patients with symptomatic or asymptomatic intracranial arterial stenosis of at least 50% in a major intracranial artery.

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Related Questions

why does cold air need to be warmed by the nasal cavity and the sinuses?

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When we breathe in, our noses add moisture to the air and warm it as the air travels down into our lungs. Cold, dry air irritates your nasal cavity, and as a result, your nasal glands produce excess mucus to keep the lining moist.

What does cold air do to your sinuses?

When cold air enters the nose, it stimulates the sensory nerves within the nasal cavity to activate a process via a cholinergic reflex or pathway. The vessels present in the nasal cavity expand and become engorged. This leads to congestion and mucus secretion due to which we get a runny nose.

How does air warms pass through the nasal cavity?

Air is taken in via the nostrils and further, the air gets warm as it moves down the nasal cavities. Nasal conchae are scroll-shaped bones that protrude and form openings through which the air flows. The conchae agitate the air around to allow the air time to humidify, warm, and be cleansed before it enters the lungs.

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A food label on a nutrition bar lists its ingredients. Which of the following ingredients does NOT contain protein derived from the major allergenic foods?
roasted soybeans
peanuts
wheat flour
rice flour

Answers

The answer is rice flour

Which of the following supplements assists in muscle contraction, immunity, and regulation of blood sugar?
Protein powder
Fish oil
Vitamin D
Magnesium

Answers

Magnesium supplements assists in muscle contraction, immunity, and regulation of blood sugar.

Muscle contraction is caused by the activation of tension-producing areas inside muscle cells. Muscle contraction does not always indicate muscle shortening in physiology since muscular tension can be produced without changes in muscle length, such as while holding something heavy in the same position. After a muscle contraction is complete, the muscle relaxes, or the muscular fibres revert to their low tension-generating state.

The interaction of two different filament types—thin and thick filaments—is crucial for the contraction of muscle cells. Myosin, an elongated protein, makes up the bulk of thick filaments, whereas two strands of actin are wrapped around each other to produce thin filaments.

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why didn't muy dad come back with the milk??​

Answers

Answer: Your dad did not love you and/or the milk was out of stock, and he had to wait in the store until new milk arrived.

Explanation: Hope this helps :)

It’s cause he’s waiting for them to restock the other dads bought all the milk

what time of year do most people join a gym?

Answers

mostly may but the busy periods run on from January into February and March

what type of conditions or aliments does yoga use to treat?​

Answers

Answer:

Arthritis,Diabetes,High blood pressure,Back pain,Joint pain

Explanation:

Several trials have found that yoga can lower blood pressure, cholesterol, and resting heart rates, and help slow the progression of atherosclerosis. Beyond this, yoga practice may exert further beneficial effects by enhancing cell-mediated and mucosal immunity. It is hypothesized that longer time spans of yoga practice are required to achieve consistent effects especially on circulating inflammatory markers.

The nutrition facts label on a food package lists "iron 50%." What does this figure indicate?
A.
The total content of this package fulfills 50 percent of the required daily amount of iron.
B.
One serving from this package fulfills 50 percent of the required daily amount of iron.
C.
Half of this package fulfills 50 percent of the required daily amount of iron.

Answers

The figure "50%" indicates that the food package contains 50% of the daily recommended value of iron.

What is value ?

Value is the worth of something, or the importance that something has to an individual or a society. In terms of a 3200 word plagiarism-free essay, the value would be determined by the quality of the work and the purpose for which it is being used.

It could be used for academic purposes and be worth a good grade, or it could be used for business purposes and be worth a profit. The value would ultimately depend on the individual or society that is assessing it.

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Why do we use insects for the PMI?
Proven succession of different species in and on
bodies in published experiments (Body Farm).
Each species will change the corpse habitat by their activities, these changes will attract the
next or subsequent species.
Each specie will or may undergo stages and/or waves
of development.
Published experiments vary by region, climate, time of year.
Use of proper experimental results should mimic the
crime scene conditions as much as possible.

Answers

Option D: Published experiments vary by region, climate, time of year, thus insects help to calculate the time of death.

The logic behind using insects to estimate time of death, or more specifically the post-mortem interval (PMI), is relatively straightforward: because insects appear on the body shortly after death, evaluating the age of the insects will likewise result in a calculation of the time of death. Thus, option D is the correct answer.

The PMI is the amount of time between when someone dies and when their body is found. As soon as someone passes away, the body begins to deteriorate. As a result, the corpse's cells will start to decompose and its internal organs will start to be broken down by enzymes. As the soft tissue is being destroyed by bacteria in the digestive tract, liquids and gases are produced. Insects are attracted by the volatile compounds that leak from the decomposing carcass.

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What is progressive degenerative disease?

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The slow loss of neurons in specific regions of the central nervous system is the hallmark of a set of chronic, progressive degenerative disease known as neurodegenerative diseases (CNS).

Alzheimer's disease is one example of a degenerative disease. Laminar Amyotrophic Sclerosis ataxia friedreichian. The course of PD invariably results in practically total impairment, including mental and cognitive function as well as physical breakdown impacting most bodily systems, despite the fact that PD is also progressive (symptoms worsen). Emphysema is a slowly progressing degenerative condition that impairs the alveolar walls' pliability, which impairs the lungs' ability to expel air. A two-layered membranous pleural sac is formed when a serous membrane known as the pleura folds back on itself. The outer layer's connection to the chest wall is known as the parietal pleura.

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What should food service operators do to prevent the spread of hepatitis A?

Answers

To prevent the spread of hepatitis A, the food workers or restaurant patrons should never touch ready-to-eat foods with bare hands. They should carefully wash their hands after using the bathroom, even if the food worker does not feel sick.

How is Hepatitis-A caused?

Hepatitis A is an infection of the liver which is caused by the virus named hepatitis A virus (HAV). This virus is primarily spread when an uninfected or unvaccinated person consumes food or water that is infected with the faeces of a diseased person.

Is Hepatitis-A sexually transmitted?

Transmission of hepatitis-A virus can happen from any sexual activity with an infected person. People who are sexually active are considered at high risk for hepatitis A if they live with or are having sex with an infected person, or injecting drugs.

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Researchers are testing the effects of a new weight loss method. Subjects will be randomly assigned to groups. One group will follow the new method and the other group will not. All subjects will be randomized a second time to watch a nutritional information video and the other group will receive a motivational speech. This will result in four different groups as follows:

Answers

This will result in four different groups as follows:

Weight Loss Method + Motivational Speech

Weight Loss Method + Informational Video

No Weight Loss Method + Motivational Speech

No Weight Loss Method + Informational Video

Factorial type of design is this.

Weight loss is a reduction in total body mass produced by a mean loss of fluid, body fat, or lean mass in the context of medicine, health, or physical fitness. Weight loss can occur inadvertently as a result of malnourishment or an underlying condition, or it can occur as a result of a purposeful endeavour to better an actual or perceived overweight or obese status.

Cachexia is defined as "unexplained" weight loss that is not caused by a reduction in caloric intake or activity and may be an indication of a serious medical condition.

Gastric bypass and gastric banding are two typical bariatric surgery techniques. Unintentional weight loss can occur as a result of a diet that is insufficiently nutritious in relation to a person's energy requirements (generally called malnutrition).

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what is the medical term for surgical fusion of two bones to stiffen a joint?

Answers

Answer: I believe it's Arthrodesis.

Explanation: Arthrodesis is where the fusion of two or more bones in a joint. During this, the diseased cartilage is removed, the bone ends are cut off, and the two bone ends are fused into one solid bone with metal internal fixation.

Larry Questring: "I had a large meal at an Italian restaurant with my wife. I had 8 ounces of 80-proof Frangelico between 8 and 9 p.m. I weigh approximately 180 pounds. I was pulled over at 10pm by the police." BAC 0.045 under limit i believe in sme ways it could be used but mostlikley not due to the fact that he is under the legal limit.


Paula Raunetz: " I drove straight to Gino's Bar after work to help celebrate my sister's birthday. I didn't stop to eat and when I got there at 7 pm the party had already started. I jumped right in and had 3 shots of tequila (1 ounce each, 80 proof) and then two more cocktails (1 oz each, 80 proof) before leaving just a few minutes ago. I weigh approximately, um, 120 pounds. I was pulled over at 10pm by the police."

Thomas Wold: "I'm coming home after the Packers' game. I took my own gin-and-tonics with me and started drinking at about 6 pm and had the last one at about 9 pm. While watching the game, I ate two hot dogs, a hot pretzel, peanuts, cheese fries, two diet sodas, ice cream, and the six gin-and-tonics. Each gin-and-tonic had 2 ounces of 80-proof gin. I weigh about 220 pounds. I was pulled over at 10pm by the police."

The chart does not allow for the elimination of alcohol from the body over time. The rate of elimination of alcohol from the blood-stream is approximately 0.015 percent per hour for each hour from the start of drinking.

Find the BAC for each person WILL RATE YOU BRAINLIEST

Answers

Explanation:

Larry Questring

Blood Alcohol Content Cases

Larry Questring had a large meal at an Italian restaurant with his wife. He ingested 8 ounces of 80-proof Frangelico between seven p.m. and nine p.m. Larry weighs approximately 180 pounds.

BAC

With this BAC, it would be legal for Larry to operate a vehicle.

Court

The BAC would not be allowable evidence in court since he was at an acceptable limit. Also, since his BAC was checked 15-20 minutes after he stopped drinking, there isn't mouth alcohol that can skew the information.

In court, this evidence would not be allowed to convict Thomas because by 10 o'clock he was well under the limit in Wisconsin.

Thomas Wold is returning home after an NFL game that started at six p.m. and ended at nine p.m. While watching the game, he ingested two hot dogs, a hot pretzel, peanuts, cheese fries, two diet sodas, ice cream, and six gin-and-tonics. Each gin-and-tonic contained 2 ounces of 80-proof gin. Thomas weighs approximately 240 pounds.

Initial BAC = 0.11

.11 - (.015 * 4) = .05

Initial BAC = .09

.09 - (0.015*3) = .045

Thomas Wold

Paul Raunetz

At this BAC level, it would be legal for Thomas to be operating a vehicle.

Paul Raunetz is driving home from a bar. He drove there after finishing his workday without stopping to eat. At the bar, he had four shots of tequila (1 ounce each, 80 proof) and five shots of whiskey (1 oz each, 80 proof) between six p.m. and nine p.m. Paul weighs approximately 130 pounds.

Court

This information could be used in court to convict Paul because his BAC was much higher than the legal limit. Also, since it has been over 20 minutes, this level is valid.

Initial BAC = 0.20

.20 - (.015 * 4) = .14

Court

BAC

With this BAC, it would not be legal for Paul to be operating a vehicle.

A car factory produced 3400 in June,3300 in July,and 3800 in Augut. What wa the average monthly production of thi factory during thi 3 month period?

Answers

3,500 is the average sold per month

What information does a chlorine test kit provide about a sanitizing solution?

Answers

Answer:  Chlorine test papers provide a means to measure the concentration of free available chlorine in solution.

Explanation:

Answer:

chlorine test papers provide a means to measure the concentration of free available chlorine in solution

A married couple takes sexual roleplay a bit too far, and when the husband's tongue turns blue and he starts to choke, he is eventually referred to Dr. House's care.

Answers

If a person in sexual role play goes too far such that it causes their tongue to turn blue, then this may be indicative of inflammation due to aggressive biting or sucking.

Fore play is the act which is committed between the couple so that it increases the desire for sexuality and their body gets accustomed to the changes that might take place during intercourse. If it is not done properly, then sexual arousal might not happen and the reproductive organs may be closed or intact due to which their can be excessive pain while insertion of male's reproductive part. If the fore play becomes quite aggressive or brutal then this may result in inflammation (swelling, pain or discomfort) in different organs and instant treatment may be required to heal it.

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What circumstances tend to lead to earlier menopause in women?

Answers

Answer:

Circumstances that tend to lead to earlier menopause in women include family history of early menopause, smoking cigarettes, and chemotherapy.

due to the reduced circulation to the limbs, people with diabetes are at an increased risk of tissue death, which can result in

Answers

amputation
I would believe this because your tissues are a main part of you body and limbs. :)
give brainliest if possible;)

A quarterback's ability to know what down it is, what play to call, how many yards are needed, and what routes his receivers are running demonstrates which of the following

Answers

The situational awareness includes things such as a quarterback's ability tp know what down it is, what play to call, how many yards are needed, and what routes his receivers are running.

What is Situational Awareness?

Situational awareness (SA) is the perception of the environmental elements and all the events with respect to the time or space, the comprehension of the meaning, and the projection of their future status with it. An alternative meaning is that situation awareness is adaptive, externally-directed consciousness which has as its products knowledge about a dynamic task environment and also directed action within that particular environment.

The steps for the situational awareness include information gathering that consists of knowing the typical sources of information which are available. Understanding information which is able to interpret the information gathered. Anticipation of this includes anticipate how an incident will develop and change.

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Is cancer impacted by sleep

Answers

No if you have cancer it will continue to spread throughout your body and weaken and damage tissues or bone and it is not slowed by sleep. If you or a loved one are struggling with cancer or symptoms of cancer then seek medical attention

When there is a sufficient buildup of cholesterol, lipids, and scar tissue in the arterial wall to impair blood flow, has developed

Answers

Answer:

This condition is called Atherosclerosis

Explanation:

It is an accumulation of lipids, scar tissue, and cholesterol in the artery wall that can obstruct or restrict blood flow to the body's organs and tissues. Heart attack, stroke, and peripheral artery disease are just a few of the major health consequences that atherosclerosis can cause. It contributes significantly to cardiovascular disease, the world's biggest killer.

A psychologist who adheres to the behaviorist school of thought would most likely attribute someone being afraid of a spider to

Answers

Answer:

classical conditioning. This theory suggests that an individual's fear of a spider (or any other object or situation) is learned through the repeated association of the spider with a negative experience or consequence, such as getting bitten by a spider in the past. This negative experience creates an emotional response, such as fear, which is then associated with the spider. Through classical conditioning, the individual will develop a fear of spiders.

Uday Tahlan

A nurse is teaching a newly licensed nurse about providing oral hygiene for clients who are unconscious which of the following statements by the newly licensed nurse indicates an understanding of the teaching

Answers

The right way of teaching the nurse about the oral hygiene of the unconscious patients is swab the client's mouth with chlorhexidine.

Unconscious patients are unaware of what is going inside their body. They are just alive and have certain vital signs in range. Such patients might be in coma or brain injury. In such cases, the nurses are asked to clean their mouth to maintain oral hygiene by the use of chemical solution called as chlorhexidine. It is a antiseptic as well as disinfectant and it can be swabbed onto a cotton pad to clean the teeth and oral surface of the mouth. It should not be swallowed because it can be hazardous for life. It kills the bacteria and brings the fresh smell inside the mouth.

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When evaluating a family's health tree, a family member who has a heart attack at age 70 raises more genetic concerns than a relative who develops colon cancer at age 28
TrueFalse

Answers

When evaluating a family's health tree, a family member who has a heart attack at age 70 raises more genetic concerns than a relative who develops colon cancer at age 28 TRUE

what is the most common treatment for klinefelter syndrome?

Answers

Fertility treatment is the most common treatment for klinefelter syndrome. so the answer is Fertility treatment.

The goal of fertility clinics is to assist couples and occasionally single individuals who want to have a family but are unable to do so naturally because of health problems. Clinics utilise a number of diagnostic tests and occasionally rather complex medical procedures to induce conceptions and pregnancies. The trained personnel used in fertility clinics include reproductive endocrinologists, embryologists, sonographers, nurses, lab technicians, and office staff. Additional specialists in acupuncture, hypnosis, and nutrition may be added to the team. One person will be needed for 150 ICSI/IVF cycles (Intracytoplasmic Sperm Injection) (In Vitro Fertilization).

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at what stage does the umbilical cord develop?

Answers

Umbilical cord development begins in the embryologic period around week 3 with the formation of the connecting stalk.

What is umbilical cord?

Umbilical cord connects the baby to the mother's placenta. During fetal development in the womb the umbilical cord is the lifeline to the baby supplying nutrients. After birth the cord is clamped and cut.

Umbilical cord also called the navel string birth cord or funiculus umbilicalis is a conduit between the developing embryo or fetus and the placenta.

Therefore, umbilical cord development begins in the embryologic period around week 3 with the formation of the connecting stalk. By week 7 the umbilical cord has fully formed composed of the connecting stalk vitelline duct, and umbilical vessels surrounding the amniotic membrane.

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Which of the following strength training guidelines are included in the U.S. Department of Health and Human Services Physical Activity Guidelines?
Choose matching definition
a) Poor habits like skipping meals
Decreased muscle mass
Medications
Decreased physical activity
b) Sweat rate
Food and drink consumed
Urine and feces excretion
Water loss from breathing
c) Maintenance of high fluid volume
Offset of core temperature increase
Delayed dehydration
d) Strength training for all major muscles groups should occur twice per week.

Answers

The concept here is Strength training, it involves the performance of physical exercises that are designed to improve strength and endurance. The answer is option D, Strength training for all major muscle groups should occur twice per week.

Strength training is a training method that helps increase muscle strength and build muscle mass and can use many different types of training.” The goal of strength training is to provide the body with a stimulus that requires an adaptive response.

Young athletes can start a strength training program around the same time they start participating in organized sports, from the age of 7 or 8, when they express interest and are mature enough to make progress as directed. At that age or for any beginner is strength training. It's not just about lifting weights, it's about building a foundation.

Strength training for beginners, on the other hand, focuses on compound exercises. These are movements that engage multiple muscle groups until you build enough strength to isolate the muscles and push them to the limit.

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FILL IN THE BLANK After experiencing a series of head injuries while playing professional football, Arie has begun to struggle with remembering the names of friends and even family members. His memory difficulties are most likely to be due to damage to his _____

Answers

After experiencing a series of head injuries while playing professional football, Arie has begun to struggle with remembering the names of friends and even family members. His memory difficulties are most likely to be due to damage to his hippocampus.

The hippocampus is mainly a part of the brain that normally plays a critical role in memory formation and also recall. Damage to the hippocampus can result in challenges of memory difficulties, such as difficulty forming new memories or recalling old memories. This is commonly seen in individuals who have experienced traumatic brain injuries, such as from sports-related head injuries.

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You dribble a basket ball while walking on a basketball court. List and describe at least 3 pairs of action reaction forces in this situation

Answers

The three action-reaction forces will be

The gravitational pull the ball experiences when being dribbled. The dribbling person's muscle power. A normal force acts against gravity while the basketball player pushes the ball down to dribble. This force also acts as the ball being pushed lower.

What is action reaction forces ?

The third law of Newton asserts that when two bodies interact, they exert forces that are equal in size and directed in the opposite direction. Another name for the third law is the law of action and reaction.

Take a wall as an example, to which we are providing a horizontal force. "Action force" refers to the horizontal force imparted to the wall. We experience what is referred to be "reaction force" from the wall, which is an equal but opposing force.

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Ancient Greek city-tate that included the city and the urrounding land. (Leon 2)
Repone

Situation
Situation

Site
Site

Poli
Poli

Village

Answers

Ancient Greece's history is also a story of mountains, as the country's mountains aided in the growth of the polis, or city-state, which is the defining Greek political unit.

A polis was a self-governing group of Greeks who prided themselves on being different from other Greeks. Each polis had its own citizen army, set of laws, and particular gods. Every polis was likewise repressive in terms of citizenship, denied women what we would consider fundamental human rights, and engaged in slavery.

Of the roughly 1,000 poleis, Athens was one (the plural form of the word). Sparta was the city-state that stood out as being most dissimilar to Athens.

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