ACUTE STROKE. DEFINITION. defined as a neurological deficit that has a sudden onset, lasting more than 24 hours and results from cerebrovascular disease
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
(88% of all strokes are ischemic)
Happens often at the site of cerebral aneurysms.
Coiling less invasive than clipping.Subarachnoid Hemorrhage
*ECC staff prepare to meet the patient and notify radiology (CT) Staff of incoming possible stroke patient.
Take patient to Radiology….
*Must be informed on time of start of symptoms in order to treat with thrombolytic.
Recent intracranial surgery, serious head trauma, or previous stroke
Hx of ICH
Uncontrolled HTN at time of treatment
Seizure at onset of stroke
Active internal bleeding
Known bleeding diathesis:
Warfarin/Coumadin w/ PT greater than 5 secs or INR greater than 1.5.
Administration of heparin within 48 hours preceding the stroke onset and an elevated aPTT.
Platelet count less than 100,000.Contraindications for t-PA in Acute Stroke
Neurological worsening can be due to:
Progression of thrombosis
Early recurrent embolization
Vasospasm ->brain ischemia
Medical ComplicationsGeneral Management following admission to the Hospital
Eat a variety of whole grain products=6 servings/day.
Include fat-free and low-fat milk products, fish, legumes, skinless poultry and lean meats.
Choose fats and oils with 2 grams or less saturated fat/tablespoon such as liquid and tub margarines, canola oil and olive oil.
Limit intake of food with high calories and low nutrition including soft drinks and candy.
Limit saturated fat, trans fat and cholesterol by avoiding full-fat milk, fatty meats, tropical oils, partially hydrogenated vegetable oils and egg yolks.
Aim for less than 200 mg of cholesterol each day.American Heart Association Eating Plan for Healthy Americans Include:
*Stroke survivors should get less than 30% of their calories from fat, and less than 7% from saturated fat. For a 2,000 cal diet that translated into less than 67 grams of fat/day.
Having good glycemic control will reduce the occurrence of microvascular complications that could lead to a stroke.