Stroke Care Tissue plasminogen activator (TPA) There is an opportunity for using alteplase (tPA) as a destroyer of drug clot to break the blood clot causing a stroke. There is a narrow window of opportunity to use this drug. Earlier he was given,
better results and less potential complications of bleeding into the brain remedy. Instructions from the American Heart Association now recommends that if used, tPA must be given within three hours after the onset of symptoms. Normally, tPA is injected into a vein in the arm. The time frame for usage could be extended to six hours if he is dripped directly into the blocked blood vessels. This is usually done by an interventional radiologist, and not all hospitals have access to this technology.
For the posterior circulation strokes involving the vertebrobasilar system, the time frame for treatment with tPA may be widened even further to 18 hours.
better results and less potential complications of bleeding into the brain remedy. Instructions from the American Heart Association now recommends that if used, tPA must be given within three hours after the onset of symptoms. Normally, tPA is injected into a vein in the arm. The time frame for usage could be extended to six hours if he is dripped directly into the blocked blood vessels. This is usually done by an interventional radiologist, and not all hospitals have access to this technology.
For the posterior circulation strokes involving the vertebrobasilar system, the time frame for treatment with tPA may be widened even further to 18 hours.
Heparin and aspirin Medicines for blood thinners (anticoagulation; for example, heparin) are also sometimes used in treating stroke patients in the hope of improving the healing or recovery of patients. It is not clear, however, whether the use of anticoagulation improve the outcome of stroke now or just help prevent the next stroke (see below). In certain patients, aspirin given after the onset of a stroke has a small effect but can be measured in the healing. The treating physician will determine the bat-drug use based on the specific purposes of a patient.
Controlling Other Medical Problems
Control of blood pressure and cholesterol is the key to prevention of stroke events in the future. In transient ischemic attacks, patients may be discharged with medications even if the levels of blood pressure and cholesterol can be accepted. In an acute stroke, blood pressure will be strictly controlled to prevent further damage.
In patients with diabetes, blood sugar levels (glucose) is often elevated after a stroke. Controlling glucose levels in these patients may reduce the size of a stroke. Finally, oxygen may be attributed to stroke patients when necessary.
In patients with diabetes, blood sugar levels (glucose) is often elevated after a stroke. Controlling glucose levels in these patients may reduce the size of a stroke. Finally, oxygen may be attributed to stroke patients when necessary.
RehabilitationWhen a patient no longer acutely ill after a stroke, health care staff to focus on maximizing the patient's functional abilities. This is most often done in a patient in a rehabilitation hospital or in a specific area of a public hospital. Rehabilitation can also take place at a care facility.
The rehabilitation process can include some or all of the following:
speech therapy to relearn talking and swallowing;
occupational therapy to regain the skills on the arms and hands;
physical therapy to improve strength and roads; and
family education to orient them to care for their loved ones at home and the challenges they will face.
The goal is to ensure that patients get back as much as possible, if not all, of the activities and functions before their stroke. Since a stroke involves the permanent loss of brain cells, a total return on the state before the stroke patients, unfortunately, is an unrealistic goal in many cases-ksus.
When a stroke patient is ready to come home, a nurse may come home for a period of time until the family is familiar with care to patients and procedures to deliver various medications. Physical therapy may be continued at home. Finally, patients are usually left at home with a caregiver or a few people, who now find their lives have changed in major ways. Caring for stroke patients at home may be easy or very close to almost impossible. At times, it became clear that the patient should be placed in a nursing home or a skilled nursing facility because appropriate treatment is not administered at home dapt albeit with good intentions of the family. (totalkesehatananda.com)
The rehabilitation process can include some or all of the following:
speech therapy to relearn talking and swallowing;
occupational therapy to regain the skills on the arms and hands;
physical therapy to improve strength and roads; and
family education to orient them to care for their loved ones at home and the challenges they will face.
The goal is to ensure that patients get back as much as possible, if not all, of the activities and functions before their stroke. Since a stroke involves the permanent loss of brain cells, a total return on the state before the stroke patients, unfortunately, is an unrealistic goal in many cases-ksus.
When a stroke patient is ready to come home, a nurse may come home for a period of time until the family is familiar with care to patients and procedures to deliver various medications. Physical therapy may be continued at home. Finally, patients are usually left at home with a caregiver or a few people, who now find their lives have changed in major ways. Caring for stroke patients at home may be easy or very close to almost impossible. At times, it became clear that the patient should be placed in a nursing home or a skilled nursing facility because appropriate treatment is not administered at home dapt albeit with good intentions of the family. (totalkesehatananda.com)
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