Stroke Management
The goal for the acute management / Stroke Management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies, within 60 minutes of patient arrival. Critical decisions focus on the need for intubation, blood pressure control, and determination of risk/benefit for thrombolytic intervention. General Management of Patients With Acute Stroke:
Blood glucose:Treat hypoglycemia with D50
Treat hyperglycemia with insulin if serum glucose >200 mg/dL
Blood pressure: For thrombolysis candidates and noncandidates
Cardiac monitor: Continuous monitoring for ischemic changes or atrial fibrillation
Intravenous fluids: Avoid D5W and excessive fluid administration
IV isotonic sodium chloride solution at 50 mL/h unless otherwise indicated
Oral intake: NPO initially; aspiration risk is great, avoid oral intake until swallowing assessed
Oxygen: Supplement if indicated (Sa02< 94%)
Temperature: Avoid hyperthermia; use oral or rectal acetaminophen and cooling blankets as needed
- Thrombolytic Therapy
- Stabilization of Airway and Breathing
- Intravenous Access and Cardiac Monitoring
- Blood Glucose Control
- Patient Positioning
- Blood Pressure Control
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- Neuropsychiatry and Behavioral Science - Neuroscience 2019 (Germany)
- Neuropsychiatry and Clinical Neurology - Neurologists 2019 (Germany)
- Neuropsychiatry and Mental Health - Neuron 2019 (Italy)
- Neuropsychiatry and Neuropsychology - European Neurosurgery 2020 (Portugal)
- Neuropsychiatry and Psychology - Stroke Congress 2019 (Ireland)
- Neuropsychology - NSP 2019 (Italy)
- Neuropsychology and Neurorehabilitation - Brain Science 2019 (Hong Kong)
- Neuropsychology, Neuropharmacology and Neurochemistry - Neurologists 2019 (Germany)
- Neuroradiology - Vascular Dementia Congress 2020 (Japan)
- Neuroradiology - NSP 2019 (Italy)
- Neuroradiology - NSP 2019 (Italy)
- Neuroradiology and Neuro Imaging - Neuro 2019 (Thailand)
- Neurorehabilitation - Neurophysiology 2020 (Germany)
- Neurorehabilitation - Brain Injury 2019 (Switzerland)
- Neurorehabilitation - Neuron 2019 (Italy)
- Neurorehabilitation - Neurodisorders Congress 2019 (Japan)
- Neuroscience - EuroNeuro 2020 (Italy)
- Neuroscience - NSP 2019 (Italy)
- Neuroscience - Neurologists 2019 (Germany)
- Neuroscience - Cognitive Neuroscience 2020 (UK)
- Neuroscience - Brain Injury 2019 (Switzerland)
- Neuroscience and Neurobiology - Neurocognitive 2019 (UAE)
- Neurosurgery - Cognitive Neuroscience 2020 (UK)
- Neurosurgery - European Neurosurgery 2020 (Portugal)
- Neurosurgery - Stroke Congress 2019 (Ireland)
- Neurosurgery - Neuro 2019 (Thailand)
- Neurosurgery - NSP 2019 (Italy)
- Neurosurgery - Neuroscience 2019 (Germany)
- Neurosurgery - Neuron 2019 (Italy)
- Neurosurgery - Neurodisorders Congress 2019 (Japan)
- Neurosurgery - Parkinsons 2019 (UAE)
- Neurosurgery - Neurology Congress 2020 (Switzerland)
- Neurosurgery - Neuroscience 2019 (Italy)
- Neurosurgery - Neurosurgery 2020 (Germany)
- Neurosurgery - Brain Injury 2019 (Switzerland)
- Neurosurgery - Brain-2019 (Italy)
- Neurosurgery and Central Nervous System - Brain Therapeutics 2019 (Japan)
- Neurosurgery and Spinal Cord Disorders - Brain Science 2019 (Hong Kong)
- Neurosurgery and spine surgery - Neurologists 2019 (Germany)
- Neurosurgical Anomalies - European Neurosurgery 2020 (Portugal)
- Neurotechnology - NSP 2019 (Italy)
- NeuroTherapeutics - Cognitive Neuroscience 2020 (UK)
- Neurotherapeutics, Diagnostics and Case Studies - Neurology 2020 (UK)
- Neurotoxicity of Drug Abuse - Neurodisorders Congress 2019 (Japan)
- Neurotoxicity of Drug Abuse - Vascular Dementia Congress 2020 (Japan)
- Neurotraumatic and Neurodegenerative Diseases - Neurochemistry 2019 (Thailand)
- Non-Pharmacological Management - Cognitive Neuroscience 2020 (UK)
- Non-Surgical Treatment of Epilepsy - Epilepsy Treatment 2020 (Italy)
- Novel Neurotherapeutics and Diagnostics - Neurologists 2019 (Germany)
- Novel Neurotherapeutics, Diagnostics & Case Studies - CNS 2019 (USA)
- Novel therapeutics - Vascular-Dementia-2020 (Czech Republic)
- Novel Therapeutics - Neurosurgery 2020 (Germany)
- Nursing and Intensive Care practices - Brain Death 2019 (Croatia)
- Nursing and Neuroscience - Neurology Congress 2020 (Switzerland)
- Nursing and Neuroscience - Neuroscience 2019 (Germany)
- Nursing care in Dementia - Dementia Congress 2020 (Singapore)
- Nursing Education and Research - European Stroke Conference 2020 (Czech Republic)
- Occupational Therapy (OT) - EuroNeuro 2020 (Italy)
- Organ Donation and Complications - Brain Death 2019 (Croatia)
- Other - Brain Therapeutics 2019 (Japan)
- Other Rare Disorders - Down Syndrome 2019 (Japan)
- Paediatric Stroke - Stroke Congress 2019 (Ireland)
- Parkinson Disease - Parkinsons 2019 (UAE)
- Parkinson’s Disease - Neuroscience 2019 (Germany)
- Parkinson’s Disease - Neurologists 2019 (Germany)
- Parkinson’s Disease - Neuroscience 2019 (Germany)
- Parkinson’s disease: Complications - Parkinsons 2019 (UAE)
- Parkinson’s diseases - Dementia Congress 2020 (Singapore)
- Pathogenesis of Cognitive disorders - Cognitive Neuroscience 2020 (UK)
- Pathophysiology and Disease Mechanisms - Alzheimers Congress 2020 (Thailand)
- Pediatric and Geriatric Neurology - Brain Science 2019 (Hong Kong)
- Pediatric Neurology - Neurology Congress 2020 (Switzerland)
- Pediatric Neurology - Neurocognitive 2019 (UAE)
- Pediatric Neurology - Neuroscience 2019 (Germany)
- Pediatric Neurology - European Neurosurgery 2020 (Portugal)
- Pediatric Neurology - EuroNeuro 2020 (Italy)
- Pediatric Neurology - Brain-2019 (Italy)
- Pediatric Neurology - Neuro 2019 (Thailand)
- Pediatric Neurology - Neuron 2019 (Italy)
- Pediatric Stroke and Recovery - Stroke Meet 2019 (Italy)
- Pediatrics Brain Diseases - Brain Death 2019 (Croatia)
- Peripheral Nerve Injury - Neurosurgery 2020 (Germany)
- Peripheral Neuropathy - Brain Injury 2019 (Switzerland)
- Perspective in Neuroscience and Neurology - CNS 2019 (USA)
- Pharmaceutical Research in CNS/Neurology - Neurology 2020 (UK)
- Pharmaceuticals and Therapies - Neuroscience 2019 (Germany)
- Physiological Psychology - Neurocognitive 2019 (UAE)
- Potential Future Interventions - Vascular Dementia Congress 2020 (Japan)
- Prevention & Management of Epilepsy - Epilepsy Treatment 2020 (Italy)
- Progress in Neurology - Neurodisorders Congress 2019 (Japan)
- Psychiatric Disorders - Brain Injury 2019 (Switzerland)
- Psychiatry and Mental health - Psychiatry Meet 2019 (Finland)
- Psychiatry and Psychology - Neurology Congress 2020 (Switzerland)
- Psychiatry as Clinical Neuroscience - Neurochemistry 2019 (Thailand)
- Psychiatry Disorders or Psychological Syndrome - Psychiatry Meet 2019 (Finland)
- Psychiatry, Psychology and Mental Health - Neurology 2020 (UK)
- Psychological Disorders - Neuroscience 2019 (Italy)
- Psychological Testing and Measurement - Neuroscience 2019 (Italy)
- psychology of Parkinson’s patients - Parkinsons 2019 (UAE)
- Psychosis-Medication, Counseling and Early Intervention - Psychiatry Meet 2019 (Finland)
- Psychosomatic Medicine - NSP 2019 (Italy)
- Recent Advancement in Treatments of Dementia - Dementia Congress 2020 (Singapore)
- Recent Innovations and Clinical Trials - Bipolar Disorder-2019 (France)
- Recent Studies & Case Reports - Dementia 2019 (France)
- Recent Studies & Case Reports - Vascular Dementia Congress 2020 (Japan)
- Rehabilitation of Traumatic Brain Injury - Brain Death 2019 (Croatia)
- Research work and Case studies on Psychiatry and Mental Health - Psychiatry Meet 2019 (Finland)
- Research, Education and case studies on Neuroscience - NSP 2019 (Italy)
- Risk Factors and Co-occurring Disorders - Bipolar Disorder-2019 (France)
- Risk Factors of Parkinson’s disease - Parkinsons 2019 (UAE)
- Robotic Neurosurgery - Cognitive Neuroscience 2020 (UK)
- Seizure First Aid and Safety - Epilepsy Treatment 2020 (Italy)
- Sleep Disorder and Medicine - NSP 2019 (Italy)
- Social and Affective Neuroscience - Brain-2019 (Italy)
- Social Neuroscience- Neuroimaging and Neuroplasticity - Psychiatry Meet 2019 (Finland)
- Social Psychology - Neuroscience 2019 (Italy)
- Social Psychology - Neurocognitive 2019 (UAE)
- Spinal Bulber Muscular Atrophy (SBMA) - Neuroscience 2019 (Germany)
- Spinal Cord Disorders - Brain Injury 2019 (Switzerland)
- Spinal Surgery - Neurosurgery 2020 (Germany)
- Spine and Spinal Disorders - Neurology Congress 2020 (Switzerland)
- Spine and Spinal Disorders - Neuroscience 2019 (Germany)
- Spine Surgery & Disorders - European Neurosurgery 2020 (Portugal)
- Spine Surgery & Spinal Disorders - CNS 2019 (USA)
- Sports Neurology - NSP 2019 (Italy)
- Stress and Neurodegenerative Diseases - Brain Science 2019 (Hong Kong)
- Stress, Anxiety and Depression - NSP 2019 (Italy)
- Stroke - Stroke Congress 2019 (Ireland)
- Stroke - European Stroke Conference 2020 (Czech Republic)
- Stroke and Cardiovascular Diseases - Stroke Meet 2019 (Italy)
- Stroke and Cerebral Haemorrhage - Stroke Congress 2019 (Ireland)
- Stroke and Mental Health - Stroke Congress 2019 (Ireland)
- Stroke and Mental Health - Stroke Meet 2019 (Italy)
- Stroke and Neurological Disorders - Neurologists 2019 (Germany)
- Stroke Management - European Stroke Conference 2020 (Czech Republic)
- Stroke Nursing and Interventions - Stroke Meet 2019 (Italy)
- Stroke Rehabilitation & Recovery - Stroke Congress 2019 (Ireland)
- Stroke Rehabilitation and Recovery - Stroke Meet 2019 (Italy)
- Stroke Rehabilitation and Recovery - European Stroke Conference 2020 (Czech Republic)
- Substance Abuse - Addiction Conference 2019 (Hong Kong)
- Substance abuse Nursing - Addiction Conference 2019 (Hong Kong)
- SUDEP: Sudden unexplained death in epilepsy - Epilepsy Treatment 2020 (Italy)
- Symptoms and Diagnosis - Bipolar Disorder-2019 (France)
- Symptoms of vascular dementia - Vascular Dementia Congress 2020 (Japan)
- Systems and Behavioral Neuroscience - Brain-2019 (Italy)
- The Impact of Mental Illness on Society - Psychiatry Meet 2019 (Finland)
- Therapeutic Approaches - European Stroke Conference 2020 (Czech Republic)
- Therapeutic Targets - Vascular Dementia Congress 2020 (Japan)
- Therapeutic Targets and Mechanisms for Treatment - Dementia 2019 (France)
- Therapeutics approaches of Neurological Disorders - Stroke Congress 2019 (Ireland)
- Trauma & Critical Care - European Neurosurgery 2020 (Portugal)
- Traumatic Brain Injury - EuroNeuro 2020 (Italy)
- Traumatic Brain Injury - Brain Therapeutics 2019 (Japan)
- Treating Dementia - Vascular Dementia 2019 (Japan)
- Treating Dementia - Vascular-Dementia-2020 (Czech Republic)
- Treatment of Dementia - Vascular Dementia Congress 2020 (Japan)
- Types of Autism Spectrum Disorders - Down Syndrome 2019 (Japan)
- Types of Cerebral Palsy - Down Syndrome 2019 (Japan)
- Types of Down Syndrome - Down Syndrome 2019 (Japan)
- Vascular Cognitive Impairment - Vascular Dementia 2019 (Japan)
- Vascular Cognitive Impairment - Vascular Dementia Congress 2020 (Japan)
- Vascular Dementia - Dementia Congress 2020 (Singapore)
- Vascular Dementia - NSP 2019 (Italy)
- Vascular Dementia - Dementia 2019 (France)
- Vascular Dementia - Alzheimers Congress 2020 (Thailand)
- Vascular Dementia - Vascular Dementia Congress 2020 (Japan)
- Vascular Dementia - Cognitive Neuroscience 2020 (UK)
- Vascular Dementia - Vascular-Dementia-2020 (Czech Republic)
- Vascular Dementia and Stroke - Vascular Dementia 2019 (Japan)
- Women Mental Health and Illness - Psychiatry Meet 2019 (Finland)