Difference between revisions of "STROKE-ACUTE MANAGEMENT"
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<br/>3. Endovascular Clot Retrieval (ECR): for select patients who present <b style="color: rgb(32, 33, 36); font-family: arial, sans-serif; font-size: 16px;">≤</b> 6-24 hours (thrombotic, involving major vessels). | <br/>3. Endovascular Clot Retrieval (ECR): for select patients who present <b style="color: rgb(32, 33, 36); font-family: arial, sans-serif; font-size: 16px;">≤</b> 6-24 hours (thrombotic, involving major vessels). | ||
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<br/>4. Intra-arterial Thrombolytic Therapy: for select patients who present <b style="color: rgb(32, 33, 36); font-family: arial, sans-serif; font-size: 16px;">≤</b> 6 hours, who have contraindications to or have not responded to IV fibrinolytic therapy. | <br/>4. Intra-arterial Thrombolytic Therapy: for select patients who present <b style="color: rgb(32, 33, 36); font-family: arial, sans-serif; font-size: 16px;">≤</b> 6 hours, who have contraindications to or have not responded to IV fibrinolytic therapy. | ||
Revision as of 09:04, 21 February 2023
SUMMARY
1. ABCs of Resuscitation: ensure airway, breathing, circulation; commence Aspirin & Clopidogrel within 24 hours; maintain adequate perfusion pressure; BSL < 10, manage fever, assess swallowing.
2. Intravenous Fibrinolytics (tPA): for select patients who present ≤ 4.5 hours.
3. Endovascular Clot Retrieval (ECR): for select patients who present ≤ 6-24 hours (thrombotic, involving major vessels).
4. Intra-arterial Thrombolytic Therapy: for select patients who present ≤ 6 hours, who have contraindications to or have not responded to IV fibrinolytic therapy.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
