Stroke Admission Orders & Antiplatelets: Aspirin vs Dual Antiplatelet Therapy | Stroke Ep 8

The clot is out, but low oxygen, high glucose, fever, dehydration or one aspirated sip of water can undo everything. This episode covers the admission orders that protect the brain, and the first antithrombotic decisions. Episode 8 of 10 in the complete Acute Ischemic Stroke series, from the first minute to lifelong prevention. In this episode you will learn: • Second hits after stroke and why stroke unit care saves lives • Admission orders domain by domain: oxygen, glucose, fluids, temperature, head position, swallow screen, mobilization, statins, clot prevention • Neuroprotection and antidepressants: what the trials actually showed • Aspirin vs dual antiplatelet therapy: the algorithm, doses and 21-day duration (CHANCE, POINT, THALES) • When to start anticoagulation after an atrial fibrillation stroke (ELAN, TIMING, OPTIMAS) • Worked examples and a minor stroke case Chapters: 0:00 After the clot is out 0:23 Protect the brain from second hits 0:56 Admission orders, domain by domain 3:49 Attending pearl 4:10 Neuroprotection and antidepressants 4:33 Check yourself (quiz) 5:10 Early antithrombotic therapy 5:59 Immediate antithrombotic treatment 7:07 Regimens and durations 8:22 Starting anticoagulation in atrial fibrillation 9:14 Attending pearl 9:48 Worked example: the first antithrombotic 10:35 Case: minor stroke, not disabling 11:29 Check yourself (quiz) 12:17 Key takeaways 12:48 Next episode Watch the full Acute Ischemic Stroke series (playlist): PASTE PLAYLIST LINK Next: Episode 9: PASTE VIDEO LINK Topics covered: stroke management, stroke admission orders, dual antiplatelet therapy, aspirin clopidogrel stroke, DAPT stroke, anticoagulation after stroke, atrial fibrillation stroke, stroke unit. Made for medical students, residents, doctors, nurses and anyone preparing for USMLE, PLAB, FCPS, MRCP or internal medicine exams. Subscribe for more clear, visual lessons on internal medicine and medical emergencies. Disclaimer: this video is for education only and is not medical advice. Always follow your local protocols and current guidelines. #StrokeManagement #InternalMedicine #Neurology #MedicalStudent #stroke