Stroke Treatment After 24 Hours

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MANAGEMENT OF COMPLICATIONS Dysphagia and feeding Dysphagia occurs in up to 50% of patients with unilateral hemiplegic stroke and is an independent d risk-factor kf for poor outcome 1 For patients with continuing dysphagia, options for enteral nutrition include NG or PEG feeding PEG does not provide better nutritional status or improved clinical outcome, compared to NG 2,3 1: Martino R et al.: <strong>Stroke</strong> (2005) 36:2756-63 2: Dennis MS et al.: Lancet (2005) 365:764-72 3: Callahan CM et al.: J Am Geriatr Soc (2000) 48:1048-54
MANAGEMENT OF COMPLICATIONS Recommendations (1/4) • Infections after stroke should be treated with appropriate antibiotics (Class IV, GCP) • Prophylactic administration of antibiotics is not recommended, and levofloxacin can be detrimental in acute stroke patients (Class II, Level B) • Early rehydration and graded compression stockings are recommended to reduce the incidence of venous thromboembolism b (Class IV, GCP) • Early mobilization is recommended to prevent complications such as aspiration pneumonia, DVT and pressure ulcers (Class IV, GCP)
Page 1 and 2: Stroke Treatment After 24 Hours 201
Page 3 and 4: MONITORING Continuous monitoring
Page 5 and 6: BLOOD PRESSURE Background Elevate
Page 7 and 8: GLUCOSE METABOLISM Background Hi
Page 9 and 10: GENERAL STROKE TREATMENT Recommenda
Page 11 and 12: GENERAL STROKE TREATMENT Recommenda
Page 13 and 14: ANTIPLATELET THERAPY Background A
Page 15 and 16: NEUROPROTECTION No adequately size
Page 17 and 18: SPECIFIC TREATMENT Recommendations
Page 19 and 20: ELEVATED INTRACRANIAL PRESSURE Mal
Page 21 and 22: ELEVATED INTRACRANIAL PRESSURE Reco
Page 23 and 24: MANAGEMENT OF COMPLICATIONS Aspira
Page 25 and 26: MANAGEMENT OF COMPLICATIONS Deep v
Page 27: MANAGEMENT OF COMPLICATIONS Falls
Page 31 and 32: MANAGEMENT OF COMPLICATIONS Recomme
Page 33 and 34: REHABILITATION Early rehabilitatio
Page 35 and 36: SETTING OF REHABILITATION Recommend
Page 37 and 38: ELEMENTS OF REHABILITATION Recommen
Page 39: ELEMENTS OF REHABILITATION Recommen

Stroke Treatment After 24 Hours

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