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Doctor insights on: Acute Stroke Treatment

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Treatment of acute pancreatitis?

Treatment of acute pancreatitis?

It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If the pancreatitis becomes very severe you may need antibiotics and in rare circumstances surgery. The other thing that is done is investigating the cause in order to prevent future attacks. ...Read more

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Is acetazolamide the treatment for acute glaucoma attack?

Is acetazolamide the treatment for acute glaucoma attack?

Partly: Acute glaucoma is due to an anatomical eye issue most common in older adults who are hyperopic. Their internal fluid drainage is blocked by the iris. The goal is to lower the pressure and move the iris out of the way. This is done with several types of eyedrops and acetazolamide helps to lower the pressure. These folks will eventually have a laser opening made in their iris to prevent attacks. ...Read more

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

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 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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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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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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Treatment for chronic demyelinating brain disease?

Treatment for chronic demyelinating brain disease?

Drugs exist: Previous answer on stress reduction which is really important.However, medications exist that can help too. It does depend on which demyelinating problem (ms, cdip), and what type as some treatments are more indicated for certain kinds of ms for example.Many are powerful immune-modulating drugs, and can be by mouth, shot or IV depending. Best to see someone skilled in treatment, such as neurologist. ...Read more

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Is hyperbaric oxygen therapy an effective treatment for chronic brain injury?

Is hyperbaric oxygen therapy an effective treatment for chronic brain injury?

Research underway: Here are a constelation of studies: http://www.Medicalgasresearch.Com/content/1/1/21. Most studies have been done with severe traumatic brain injury patients. I believe that the jury is still out. ...Read more

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What is the treatment for acute renal failure?

What is the treatment for acute renal failure?

Renal failure: Acute renal failure requires close attention to volume status, acid-base status, electrolytes, and any signs of uremia. These events might signal a need for urgent dialysis. Avoiding exposure to nephrotoxic meds is necessary. Studies to rule out obstruction (u/s usually) are necessary as well. ...Read more

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What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. ...Read more

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Please describe the most important treatment of acute COPD exacerbation?

Please describe the most important treatment of acute COPD exacerbation?

Steroids antibiotic: Patients needs steroids ie Prednisone for 5- 14 days and course of antibiotics for 5-10 days. ...Read more

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What is the treatment for transient ischemic attack?

What is the treatment for transient ischemic attack?

Healthy lifestyle: General recommendation is to control blood pressure, cholesterol levels, glucose levels (if diabetic), adhere to a healthy diet (mediterranean is great!), quit smoking and be physically active (at least 30 minutes per day 3 times a week). Aspirin is commonly used as a first medication unless there is an indication for a blood thinner. ...Read more

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What is acute myocardial infarction?

What is acute myocardial infarction?

Heart attack: Acute means happening myocardium is the heart muscle infarction is ischemia/ death of cells medical for heart attack. ...Read more

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What is acute disseminated encephalomyelitis (adem)?

What is acute disseminated encephalomyelitis (adem)?

ADEM: A rare inflammatory demyelinating disease of the central nervous system. Is an autoimmune disease triggered by infection or vaccination. It starts with fever, headache & vomiting, then decrease consciousness & sometimes coma or seizures, muscle weakness & ataxia. ...Read more

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What is the difference between acute ischemic stroke and ischemic stroke?

What is the difference between acute ischemic stroke and ischemic stroke?

Acute - Sudden Onset: Acute stroke refers to a stroke that has just occurred. Ischemic stroke may be hyperacute (based on sudden onset neurological symptoms and imaging findings, MRI and perfusion study) and potentially treatable, acute (1-7 d), subacute (7-21 d), and chronic (>21 d). ...Read more

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Can chemo therapy causing stroke symptoms?

Can chemo therapy causing stroke symptoms?

Yes: Many types of chemotherapy can directly affect the brain and cause stroke-like symptoms. Some chemotherapy also increases the risk of blood clots, or the risk of bleeding, both of which may cause strokes. Be sure to tell your doctor immediately about these symptoms. ...Read more

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What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

the same thing: Arteriosclerotic cardiovascular disease means blockages in the coronary arteries. The manifestation of coronary artery blockage is a heart attack. When this happen suddenly, we say it is acute. ...Read more

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