Stroke treatment with which corticosteroids
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Treatment of acute ischemic stroke depends on the underlying cause. Diagnostic testing also depends on the cause of the acute ischemic stroke and differs from patient to patient. For e.g. some patients may require an echocardiogram, duplex scan and other sophisticated blood tests to find out the cause for the formation of the blood clots, whereas some don't require that many diagnostic tests. The outcome of a stroke depends on the severity of the ischemic stroke and the part of the brain which was affected. Most of the people who have had a acute ischemic stroke are able to regain their complete or most of their functional capacity. Whereas some may not be able to speak, eat or move normally.
In the course of the initial few days following acute ischemic stroke, doctors usually won't be able to foretell whether a patient will improve or worsen. About 50% of the acute ischemic stroke patients having one-sided paralysis and patients with less severe symptoms will be able to regain some of their function before leaving the hospital and they are eventually able to take care of their basic needs. Around 20% of the patients suffering from a ischemic stroke die in the hospital and this proportion increases in the elderly patients. Acute Ischemic Strokes which result in loss of consciousness or impaired breathing or heart function are very serious and require immediate medical attention.If the acute ischemic stroke patient experiences problems in functioning even after six months, then these problems are likely to be permanent; however, some patients may improve gradually over a period of time. Younger patients, with overall better health, have more chances of recovering completely and quickly following acute ischemic stroke.Patient having a stroke requires prompt medical attention. Getting immediate medical attention helps in reducing the damage from the stroke or in preventing further damage. Most of the times, patient may require oxygen or an intravenous line to provide fluids and nourishment.In case of stroke in evolution, anticoagulants such as heparin can be given.Anticoagulants are ineffective in case of complete stroke.If a blood clot is the cause of the acute ischemic stroke, then clot-dissolving drugs, such as streptokinase or tissue plasminogen activator if given within 3 hours, help in preventing or reversing stroke symptoms such as paralysis. The patient should be examined by a doctor immediately to rule out hemorrhage, as it cannot be treated with clot-dissolving drugs.If the acute ischemic stroke is complete, then there will be some dead brain tissue whose function can never be restored. However, if the blockages are removed after a small stroke or transient ischemic attack in a patient with more than 70% carotid artery blockage, then it can reduce the chances of future strokes.Mannitol and rarely corticosteroids can be given in acute strokes where there is swelling and increased pressure on the brain due to the swelling. If the patient has suffered from an acute ischemic stroke, then that patient may be put on a respirator to maintain adequate breathing or because of pneumonia.Even though the dead brain tissue cannot be restored, patient can undergo intensive rehabilitation to help them in overcoming their disability by training other parts of the brain to do those tasks which were originally done by the dead or damaged part of the brain. Acute ischemic stroke patient should enroll in a rehab program immediately in order to keep his/her muscles strong and to prevent pressure sores and muscular contractions. Joining a rehab program immediately helps the patient to walk and talk again. Patient may continue rehabilitation even after leaving the hospital.
In the course of the initial few days following acute ischemic stroke, doctors usually won't be able to foretell whether a patient will improve or worsen. About 50% of the acute ischemic stroke patients having one-sided paralysis and patients with less severe symptoms will be able to regain some of their function before leaving the hospital and they are eventually able to take care of their basic needs. Around 20% of the patients suffering from a ischemic stroke die in the hospital and this proportion increases in the elderly patients. Acute Ischemic Strokes which result in loss of consciousness or impaired breathing or heart function are very serious and require immediate medical attention.If the acute ischemic stroke patient experiences problems in functioning even after six months, then these problems are likely to be permanent; however, some patients may improve gradually over a period of time. Younger patients, with overall better health, have more chances of recovering completely and quickly following acute ischemic stroke.Patient having a stroke requires prompt medical attention. Getting immediate medical attention helps in reducing the damage from the stroke or in preventing further damage. Most of the times, patient may require oxygen or an intravenous line to provide fluids and nourishment.In case of stroke in evolution, anticoagulants such as heparin can be given.Anticoagulants are ineffective in case of complete stroke.If a blood clot is the cause of the acute ischemic stroke, then clot-dissolving drugs, such as streptokinase or tissue plasminogen activator if given within 3 hours, help in preventing or reversing stroke symptoms such as paralysis. The patient should be examined by a doctor immediately to rule out hemorrhage, as it cannot be treated with clot-dissolving drugs.If the acute ischemic stroke is complete, then there will be some dead brain tissue whose function can never be restored. However, if the blockages are removed after a small stroke or transient ischemic attack in a patient with more than 70% carotid artery blockage, then it can reduce the chances of future strokes.Mannitol and rarely corticosteroids can be given in acute strokes where there is swelling and increased pressure on the brain due to the swelling. If the patient has suffered from an acute ischemic stroke, then that patient may be put on a respirator to maintain adequate breathing or because of pneumonia.Even though the dead brain tissue cannot be restored, patient can undergo intensive rehabilitation to help them in overcoming their disability by training other parts of the brain to do those tasks which were originally done by the dead or damaged part of the brain. Acute ischemic stroke patient should enroll in a rehab program immediately in order to keep his/her muscles strong and to prevent pressure sores and muscular contractions. Joining a rehab program immediately helps the patient to walk and talk again. Patient may continue rehabilitation even after leaving the hospital.
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