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Get Acute Stroke Care: A Manual from the University of Texas - PDF

By Ken Uchino

ISBN-10: 0521674948

ISBN-13: 9780521674942

You've simply encountered a potential stroke sufferer. You wonder, what may still I do first? How do i do know it's a stroke? Is it too overdue to opposite the wear? How do I do the ideal issues within the correct order? This booklet can help you solution those serious questions. It offers functional recommendation at the care of stroke sufferers in a number of acute settings. As new and powerful remedies develop into on hand, and certain stroke facilities are created, this guidebook may help tell the healthcare execs chargeable for offering care. The content material is prepared in chronological order, masking the issues to contemplate 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 coated. A complete set of appendices include valuable reference details together with dosing algorithms, conversion elements and stroke scales.

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

Example text

It is approved under safety monitoring in the European Union. Intra-arterial (IA) thrombolysis is a rescue therapy that is being used in several centers under various research protocols. A variety of neuroprotective agents (hypothermia, other drugs) are presently under investigation to try to decrease infarct size, but none is FDA-approved at this time. 2 Details of the protocol can be found in Chapter 4. CONCURRENT DIAGNOSTIC TESTING Determination of stroke etiology is usually deferred until after starting TPA therapy.

If BP is not controlled by labetalol, consider sodium nitroprusside 4. Systolic Labetalol 10 mg IV over 1–2 min 180–230 May repeat or double labetalol every 10 to OR 20 min to a maximum dose of 300 mg or Diastolic give the initial labetalol bolus and then start 105–120 a labetalol drip at 2 to 8 mg/min Source: H. P. , R. J. Adams, T. , Guidelines for the early management of patients with ischemic stroke: a scientific statement from the Stroke Council of the American Stroke Association. 1 Reproduced with permission from Lippincott Williams & Wilkins.

ANTIPLATELET AND ANTICOAGULANT THERAPY AS AN ACUTE TREATMENT FOR ISCHEMIC STROKE Both antiplatelet and anticoagulant therapy are often considered in the acute therapy of ischemic stroke, and one or both may be appropriate, but randomized trials have shown that anticoagulants should not be routinely employed acutely. Trials have shown that antiplatelets have only a modest benefit, and no studies have yet shown the benefit of urgent antiplatelet treatment. 3,4* Antiplatelet treatment beyond aspirin is driven by evidence from acute cardiovascular trials until there are more stroke data available, remembering of course the greater propensity of the brain to develop hemorrhagic complications.

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


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