Current treatment acute stroke
Once a firm diagnosis is made, start the specific treatment and care. Some traditional treatments are known to be insecure have created. Active research as he addressed the causes neuronal damage, progression of acute stroke and relieve the insult.
Dash may be categorized as either ischaemic or haemorrhagic in nature. While there is ischemic cerebrovascular disease in the world, the line under Chinese and Japanese can consider cerebral haemorrhage 30 to 40%. As cerebral hemorrhage patients clinically resemble the ischemic vascular disease suffer and be fully alert, must be based on solid radiological identification of underlying pathology treatment of stroke. The cause of the stroke has clearly identified, so that specific risk factors are controlled, and is tailored to the needs.
The management of acute stroke
Good management of stroke patients should start with sound basic diagnosis, investigation and nursing. Dedicated strict medical and nursing care in acute stroke units has been shown to reduce the functional disability and the need long-term hospitalization, even if drug therapy given in General is the same as medics. The difference in the result seems easy on careful in diagnosis due to treatment and management of avoidable complications. Adequate nutrition, fluid and electrolyte balance should be ensured; carbohydrate-rich feeding may be necessary in these, cannot be fed.
Stuperouos or comatose patients must stay protector, airway, to prevent common aspiration, as well as semi-Fowler position. The Tredelenberg position is displayed in the Proporsional cerebral ischemia. Bed extended confinement leads to complications such as infection, thrombophlebitis, pulmonary embolism and decubitus ulcers. IMMOBILIZED patient at least 2-hourly, should be to prevent ischemic necrosis of the skin and develop bed sores, and infection enabled. More frequent positional changes are likely to be advantage, since kinetic therapy with a rotating bed patients, the 8 revolutions per hour has been reported to reduce the incidence of infections. Joint contractures can be by physical therapy prevents during anterior dislocation of humeral head with good positioning and prevents the use of slings. Rehabilitation should be started as early as possible.
Fever
Fever in a patient with ischaemic stroke is usually secondary infection, the most common aspiration or infectious pneumonia. Periodic hyperventilation and powerful cough can prevent pulmonary atelectasis. Breast movement in hemiplegic page tends to be reduced, so that to devote this page attention. Pneumonia is one of the main cause of death in stroke patients and increased respiratory rate and can help development of fever, the early detection of this complication. Urinary tract infection is common due to the frequent use of indwelling, catheter as also the inability fully empty the bladder with resulting urine of statis in those without catheter. Venous thrombosis which paralysed leg, perhaps through the use of leg packaging, passive leg movements, adequate hydration and the use of low dose subcutaneous heparin to prevent. This complication is however unusual among Chinese, so that only targeted use of anticoagulation in this population is required. Special care should be in the brain stem stroke as aim and cardio respiratory complications including sleep apnea are common.
Hypertension
High blood pressure is a major risk factor for stroke and is often found on the recording. Many patients have spontaneous but reduction of hypertension in a few days. When deciding how soon an elevated blood pressure to normal levels should be after a stroke, it is worth considering that if self-regulation affects, while ischaemic stroke is acute and is dependent on passively arterial pressure of cerebral blood flow, blood flow with lowering blood pressure suffers decline in the marginal ischemic Penumbra. Decrease in blood pressure can also reduce improve flow and therefore thrombus formation.
However, in the case of cerebral haemorrhage, a higher blood pressure of required appropriate cerebral perfusion pressure in the presence of one might increased intracranial pressure. For these reasons may be aggressive treatment of hypertension in the acute phase unnecessary and dangerous. It is advisable to strive for stabilizing at a lower level, rather than on a normal level and blood pressure gradually reduce, unless that extreme hypertension, hypertensive encephalopathy, Myocardia ischemia by the hypertension or aortic dissection. Furthermore, medications such as nitroprusside, hydralazine, clonidine, Diazoxide of the cerebral perfusion reduce, should be avoided or used with great caution.
Experimental studies have shown that this hyperglycemia ischemic cerebral injury intensified. There is also evidence that do well glucose of less stroke patients with higher. Controversy is whether this an adverse effect of Hyperglycemia or vice versa is the stress effect of large infarction due to glucose of Homeostatis, shows the observation on the need for monitoring of blood glucose in patients with stroke and a more rational use of glucose infusions.
Steroids
Steroids are often prescribed for cerebral oedema in the stroke. But in contrast to the extracellular Vasogenic edema responded, not the ischemia follows steroid therapy. A controlled study demonstrated that high dose steroids given to patients with cerebral infarction, have any positive effect. In addition, complications of infections were more common with steroids. Mannitol and other dehydrating agents are less side-effects have been just as ineffective. Surgery, ischemic cerebellar swelling can however in the case of a serious caused brain-stem compression be useful.
Seto El Kahfi have been blogging since 2008. Its interesting, healthy life you move him to write this article. He developed currently website speaks of Android OS.
View the original article here
