Ischemic stroke early assessment
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Overview
The early assessment of stroke includes airway, breathing and circulation assessment even befor the patient is transferred to the stroke unit or hospital. Once patient is hemodynamically stable, further management is directed towards determining the underlying cause and appropriate treatment plan.[1]
Early assessment
Early assessment
The initial assesment goals of ischemic stroke may include the following. [1]
| 1) Airway 2) Breathing | 1) O2 administration at SpO2<94%
2) Ventilatory assisstance is provided to patients who have difficulty breathting 3) IV fluids or vasopressors are given to maintain hemodynamic stability | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Early Diagnosis | History and PE
1) Help assess the severity of neurological deficit | Initial diagnostic tests
1) Noncontrast brain CT or brain MRI | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Early assessment of ischemic stroke | Reperfusion therapy | Medical r-tPA in eligible patients within 3-4.5 hours of onset of symptoms | Surgical | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Symptomatic relief | 1) Fever 2) Headache 3) Shortness of breath | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Prognosis | 1)NIHSS scoring 2)Glassgow coma scale | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ 1.0 1.1 Jauch EC, Saver JL, Adams HP, Bruno A, Connors JJ, Demaerschalk BM; et al. (2013). “Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association”. Stroke. 44 (3): 870–947. doi:10.1161/STR.0b013e318284056a. PMID 23370205.
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