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Doctor insights on: Acute Stroke Treatment

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What are some developments in the treatment of acute stroke?

What are some developments in the treatment of acute stroke?

Time is essential: It is most important to seek treatment for sudden changes in the ability to move, sense, or think. If a stroke is treated in first few hours, a great improvement in outcome may be possible. If you wait even a few hours to see if if gets better, the chances of improved recovery are greatly lessened. ...Read more

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What are the treatments for acute stroke?

What are the treatments for acute stroke?

Acute stroke Rx: There are many treatments for acute stroke, including: 1. blood pressure management, when needed 2. blood sugar mgmt when needed 3. IV TPA- tissue plasminogen activator, for many cases 4. aspirin 5. arterial TPA, (alteplase) in select cases 6. thrombosis retrieval, in very select cases 7. later on, cholesterol treatment, anticoagulation for atrial fib, and artery repair may be options ...Read more

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What therapy is used in patients with acute ischemic stroke?

What therapy is used in patients with acute ischemic stroke?

Time critical: Within 3 hours of symptoms (up to 4.4 hours in some cases) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers. ...Read more

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Can antithrombotic and hypofibrinogenetic therapy be used for acute ischemic stroke?

Yes: If ct of brain reveal no bleeding and if the pt. Is in the window period (less than 4.5 hours from symptoms)to receive fibrinolytics (tpa (alteplase) or others) this is going to break the clot and restore the circulation avoiding serious neurological damage.Aspirin is started 24. Hrs later after tombolytics. For DVT prevent. Anticoagulants should be used except when hemorrhagic transformation is present. ...Read more

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What is the best early treatment for a stroke?

What is the best early treatment for a stroke?

TPA (alteplase): The best early treatment is tissue plasminogen activator. This drug is given in the vein or artery and can break up the clot plugging the vessel allowing blood flow back to the brain. The sooner it is given, the less damage the patient may suffer. ...Read more

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What is the appropriate prompt treatment for stroke?

What is the appropriate prompt treatment for stroke?

Stroke treatment: Prompt treatment for a stroke is to transport the person to the emergency room. They should keep their head down, treat blood pressure gently if needed, review medications, check blood sugar, start IV fluids and get an EKG and head CT without contrast. Certain patients with ischemic stroke may benefit from rapid treatment with a medicine called TPA (alteplase). ...Read more

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What should one do as an emergency treatment for stroke?

Best advice: Do not hesitate, head for an emergency department. Time is of the essence, as tpa (alteplase) infusion works best within the first 3 hrs, and most er docs are very experienced in use of tpa (alteplase) these days. ...Read more

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Can you please suggest the best treatment and/or control for a stroke?

Can you please suggest the best treatment and/or control for a stroke?

Scenarios: Too many variations to be complete, but 1. Acute stroke, use TPA (alteplase) emergently. 2. Completed, use speech, PT, OT 3. Prevention, just for stroke, not underlying co-morbidities, use Aggrenox, or clopidigrel, and/or statin. 4. For more info, contact Concierge service. ...Read more

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Can you please explain the stroke condition, the cause, risk factors, symptoms and treatment?

Can you please explain the stroke condition, the cause, risk factors, symptoms and treatment?

Brain attack: Like a heart attack, there is decreased blood flow to parts of the brain resulting in partial or complete damage to nerve cells. Common symptoms include loss of vision, one-sided weakness and/or numbness, loss of balance, deficiency of speech expression or understanding, dizziness, etc. Causation includes hypertension, smoking, diabetes, etc. Prevention is best approach. ...Read more

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What pharmacologic treatment of stroke are there?

What pharmacologic treatment of stroke are there?

CHALLENGING: Alteplase or t-pa, can be infused within the first 4.5 hrs after a stroke and possibly reverse the symptoms. If this does not work, conservative in=hospital symptomatic medication is employed with emphasis on complications. An embolism from elsewhere is handled with heparin, warfarin, pradaxta, etc. Prevention best from Aggrenox or clopidigrel. ...Read more

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What is respiratory treatment for a stroke?

What is respiratory treatment for a stroke?

After a stroke: The stroke the patient is evaluated by speech pathology to see if there is abnormal swallowing which can lead to pneumonia. If stroke is severe pt may be on breathing machine in intensive care. ...Read more

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What is the treatment for vertebro basilar stroke?

What is the treatment for vertebro basilar stroke?

Up to 24 hours: Tpa (alteplase) can be used by vein up to 3 hours (some patients 4.5 hours) after onset of stroke symptoms. Tpa (alteplase) in the artery can be used up to 6 hours after onset (up to 24 hours in basilar artery). See stroke. Org. ...Read more

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What is best treatment for recurrent ischaemic stroke?

What is best treatment for recurrent ischaemic stroke?

Diagnostic testing: Best way to define treatment is to find what caused the stroke. It could be combination of risk factors (diabetes, high blood pressure, high choletserol), clots coming from the heart other arteries or uknown cause. Clots are best treated with blood thinners. Regardless of type of stroke, control of risk factors is very important (blood pressure control, normalization of cholesterol, healthy diet). ...Read more

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Please help! What is the treatment for chronic stroke syndrome?

Ounce of prevention: Best approach is to prevent initial strokes or future events: stop smoking, control triglyceride and homocysteine levels, prevent cardiovascular issues, control blood pressure and diabetes, use tpa (alteplase) if stroke symptoms occur, use an anti-platelet drug or even anti-coagulant (primary cardiac dysrhythmias), exercise, eat healthy. Rehab if necessary, such as pt, ot, speech therapy. ...Read more

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How should I prepare to return home after stroke treatment at rehab center?

How should I prepare to return home after stroke treatment at rehab center?

Working closely with: Working closely with the rehab team is crucial. They will provide education and training for not only the patient but the family/caregivers, recommend specific equipment, and assist with the transition to an appropriate home rehab or outpatient therapy program. It is also important that a follow up appointment is scheduled with the family physician and all specialists involved with care. ...Read more

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How quick after stroke should treatment start so that a patient can survive?

Soon: Survival after stroke depends on many factors, mostly on the size of stroke and complications (pneumonia, bleeding etc). Acute therapy for stroke (clot busting medication) should be given within first 4.5 hours of stroke onset. It can potentially help to halt the stroke and improve outcome. ...Read more

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If a person suffering a stroke has the headache symptom, does it go away or persist till they recieve treatment?

Cva: Headache length of duration depends on the damage associated with the headache and its pathophysiology. All strokes and all associated headaches are not necessarily the same. ...Read more

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After suffering a stroke, if the only available treatment is IV heparin how long can it take to show results? We are just past 72 hour mark.

After suffering a stroke, if the only available treatment is IV heparin how long can it take to show results? We are just past 72 hour mark.

Sounds odd: Why do say that the only AVAILABLE treatment for this person's stroke is IV Heparin? Why is TPA (alteplase) not available? In 2013 updated guidelines for the use of heparin were released to be used in specific circumstances of acute stroke but by and large TPA (alteplase) is the drug of choice and patients should always be able to at least get to a TPA (alteplase) center, "drip and ship." as we call it in the business. ...Read more

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What is the treatment for mini-stroke?

What is the treatment for mini-stroke?

Evaluation: To see if really a stroke. Carotid ultrasound or cta neck. Head ct and possibly mri. Risk factor control. Maybe aspirin. Stop smoking. See www. Stroke. Org. ...Read more

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What is the treatment for pediatric stroke in kids?

What is the treatment for pediatric stroke in kids?

Pediatric stroke: Pediatric stroke, just like an adult stroke is a medical emergency. The causes of stroke are however different in children.the treatment will depend on the underlying cause. Rehabilitation is also part of the treatment ...Read more

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