Download e-book for iPad: Acute Stroke Care: A Manual from the University of Texas - by Ken Uchino

By Ken Uchino

ISBN-10: 0521674948

ISBN-13: 9780521674942

You've gotten simply encountered a potential stroke sufferer. You wonder, what should still I do first? How do i do know it's a stroke? Is it too past due to opposite the wear and tear? How do I do the perfect issues within the correct order? This booklet can assist you resolution those severe questions. It offers functional recommendation at the care of stroke sufferers in a variety of acute settings. As new and powerful remedies develop into to be had, and certain stroke facilities are created, this guidebook might help tell the healthcare pros liable for providing care. The content material is prepared in chronological order, protecting the issues to think about in assessing and treating the sufferer within the emergency division, the stroke unit, after which on move to a rehabilitation facility. every kind of stroke are lined. A finished set of appendices comprise important reference details together with dosing algorithms, conversion elements and stroke scales.

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Extra info for Acute Stroke Care: A Manual from the University of Texas - Houston Stroke Team

Sample text

Avoid diuretics in patients receiving IV fluids. , congestive heart failure, infection)? Is the blood pressure coming down slowly? Is the patient eating safely? Is the patient comfortable and sleeping well? & Ask yourself why the patient still gets blood drawn every morning for blood count, chemistry, calcium . . What is the mechanism of the stroke? & Is the work-up appropriate and complete? What are we doing to prevent another stroke? Ask yourself why the patient is not on antiplatelets, statins, ACE inhibitors – because most patients on the stroke service should be (except people with ICH or on anticoagulation).

However, the same caveats apply as with MRA. MAINTENANCE OF CEREBRAL PERFUSION To maximize brain perfusion through stenoses and collateral vessels, we maintain euvolemia, support blood pressure, and put the head of the bed flat. )* or (3) systolic or diastolic pressures are above 220 or 120 mm Hg respectively* If you are going to treat hypertension, consider using a shortacting agent that will wear off quickly or be turned off in case BP drops too much, such as: . labetalol (Trandate, Normodyne) 10–20 mg IV* .

Risks vs. benefits of TPA . If further increase in oropharyngeal angioedema is seen, or if there is airway compromise: & If tongue is edematous, but oral intubation is possible, perform urgent orotracheal intubation. & If tongue is too edematous for orotracheal intubation, perform fiberoptic nasotracheal intubation. & If there is severe stridor or impending airway obstruction, perform tracheostomy or cricothyrotomy and consider reversing TPA. & Always resolves spontaneously within 24 hours without sequelae.

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Acute Stroke Care: A Manual from the University of Texas - Houston Stroke Team by Ken Uchino

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