STROKE

                                                                     




Ischaemic stroke-Give aspirin (to prevent futhur clots)
what for previously formed clot?-->TPA(Tissue plasminogen activator-it's called thrombolytic)
Prophylaxis drugs:
if clot formed in brain:aspirin
if clot formed in heart:anticoagulant

Adult dose:0.9 mg/kg (upto 90 mg) IV over 60 minutes with 10% of the total dose administered as an initial IV bolus over the 1st minute

if nothing works--surgery

• MERCI retriever

• Suction process

Haemorrhagic stroke-
Patient's head should be kept elevated so that the blood flows down to jugular veins
stop drugs that increase bleeding
here BP is very high so anti-hypertensives are given
if seiures-anti-convulsants
manage patient symptoms until interventions like surgery happen

If clot at end of blood vessel:IV
If clot at star of blood vessel(diameter of clot will be more):IV can be tried at first,if not....mechanical re-canalisation

If stroke happens:1st 4 and half hours is golden hour.if taken to hospital the earliest...results will be more good
which hospital should he be taken:hospital with ct scan or MRI

What if patient reaches after the golden hour i.e 4.5 hrs?
if there is enough penumbra i.e undamaged brain tissue,he/she can be revived within 12 hrs also.

wakeup stroke:
when the person getup,his body parts lack movements
he has to be sent to MRI.if 80% penumbra-do thrombolysis