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Acute Ischemic Stroke Management Review for the Hospitalist
Author(s) -
Shilpa Haldal,
Jonathan M. Beary,
Premkumar Nattanmai,
Pravin George,
Christopher R. Newey
Publication year - 2018
Publication title -
american journal of hospital medicine
Language(s) - English
Resource type - Journals
ISSN - 2474-7017
DOI - 10.24150/ajhm/2018.001
Subject(s) - medicine , stroke (engine) , ischemic stroke , cardiology , emergency medicine , ischemia , engineering , mechanical engineering
The treatment of acute ischemic stroke is dependent on timely recognition. After ensuring airway, respiratory and circulatory stability, NIHSS should be performed and urgent CT scan obtained. If no exclusions exist, recombinant tissue plasminogen activator (rtPA) should be administered as soon as possible. Select patients may be eligible for mechanical thrombectomy. Stroke patients should be admitted to a dedicated stroke service to determine stroke mechanism, manage risk factors, and initiate preventive therapies.

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