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ischemic STROKE - Coggle Diagram
ischemic STROKE
Complications of Acute Stroke
Cardiovascular Dysfunction
Herniation
Pulmonary Embolus
Pneumonia
Seizure
Venous Thromboembolic Disease
Urinary Tract Infection
General Care for Patients with Acute Stroke
Antiplatelet or Anticoagulant therapy
Monitor coma scale, BP, and TPR
Diet
N-G feeding or percutaneous gastrostomy if indicated
Electrolyte
Check BUN, Cr, Na, K, regularly if indicated
Activities
Bed rest
Airway and Breathing
Therapy for Acute Stroke
Intra-arterial thrombolysis
Thrombolytic Therapy (t-PA for Acute Stroke)
rt-PA for Acute Stroke
在出現纖維蛋白(fibrin)時, 催化胞漿素原(plasminogen)轉化成胞漿素(plasmin)
Anticoagulant Therapy
Antiplatelet Therapy
Endovascular Thrombectomy (EVT)
age>18 y/o
suspicious large artery infarction: Ex:上下肢MP<=3 (NIHSS:8~30); Pre-morbid mRS<=1)
onset time: anterior circulation < 8hrs,posterior circulation<24hrs
Cre<2 or eGRF >30
Cerebral vascular evalution
Anterior Cerebral Artery Stroke
Middle Cerebral Artery Stroke
Posterior Cerebral Artery Stroke
Clinical evaluation of stroke
brain MRI/MRA
carotid echo and TCD
Brain CT/CT perfusion /CTA
Introduction
Definition
Subtype
ischemic stroke (72%)
Thrombotic infarct
Embolic infarct
Lacunar infarct
Transient ischemic attack (TIA)
Vertebrobasilar insufficiency (VBI)
Complete stroke
Stroke-in-evolution
hemorrhage stroke (28%)
Vertebrobasilar Stroke