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Este Cmap, tiene información relacionada con: proyecto1, Hemorrhagic 15% of all strokes types Intracerebral: rupture of vessel, HTN most common cause, occurs during activity, sudden onset of s/s w/ progression over min to hours because of ongoing bleeding., Transport to tercian level of atention ???? Ambulance, 2 major arteries to brain: carotid and vertebral blood supply to: carotid: frontal, parietal, temporal lobes, basal ganglia, thalamus, hypothalamus, DRUGS: ISCHEMIC Stroke: ASA, Ticlid, plavix, warfarin (for A-fib) coumadin, heparin tPa(w/in 3 hours of symptoms) SAH: calcium channel blocker Surgical: carotid endartectomy, stent, clipping, wrapping or coiling of aneurysm, merci retriever (ich. stroke, Hemorrhagic 15% of all strokes types SAH: Bleeding into arachnoid space, commonly caused by rupture of aneurysm. "worst HA of one's life", • Ensuring medical stability • Quickly reversing any conditions that are contributing to the patient's problem • Moving toward uncovering the pathophysiologic basis of the patient's neurologic symptoms • Screening for potential contraindications to thrombolysis in acute ischemic stroke patient ???? Inmediate laboratory studies, -Knowledge of primary physician -especialist disponibility request for Reference -Distance + transport + Time= < 3h ???? Transport to tercian level of atention, • What are the benefits and risks of thrombolytic therapy in patients presenting with acute ischemic stroke? • When is treatment too late to salvage brain tissue? • When is the use of thrombolytic agents, which increase the risk of brain hemorrhage, too dangerous? ???? isquemic 80%, STROKE diagnosis CT w/o contrast, CT w. contrast, MRI, PEt Cerebral angiography, Doppler, STROKE types ischemic, The major questions when considering thrombolytic therapy for an ischemic stroke are: ???? • What are the benefits and risks of thrombolytic therapy in patients presenting with acute ischemic stroke? • When is treatment too late to salvage brain tissue? • When is the use of thrombolytic agents, which increase the risk of brain hemorrhage, too dangerous?, DRUGS: ISCHEMIC Stroke: ASA, Ticlid, plavix, warfarin (for A-fib) coumadin, heparin tPa(w/in 3 hours of symptoms) SAH: calcium channel blocker isquemic IV Thrombolityc Therapy, IV Thrombolityc Therapy first The goals in the initial phase include:, • Ensuring medical stability • Quickly reversing any conditions that are contributing to the patient's problem • Moving toward uncovering the pathophysiologic basis of the patient's neurologic symptoms • Screening for potential contraindications to thrombolysis in acute ischemic stroke patient ???? Images, Transport to tercian level of atention ???? air ambulance (helicopter), 2 major arteries to brain: carotid and vertebral blood supply to: vertebral: (joins to form basilar) middle & lower temporal, occipital lobe, cerebellum brain stem., isquemic 80% intravenous thrombolysis Treatment within 3-4.5 hours, The major questions when considering thrombolytic therapy for an ischemic stroke are: ???? haemorragic 20%, isquemic 80% intravenous thrombolysis Treatment within 3 hours, STROKE patho 2 major arteries to brain: carotid and vertebral