Two broad categories: ischemic (thrombotic or embolic) (87%) and hem...
Determining time course is critical: Assess onset of symptoms. History from witnesses may be helpful.
Acute onset of focal arm/leg weakness, facial weakness, difficulty with speech or ...
Monitor BP closely in the first 24 hrs.
Withhold antihypertensives unless systolic BP >220 mm Hg or diastolic BP >120 mm Hg. Goal is to lower BP ~15% in the first 24 hrs if treatment is...
Secondary prevention of stroke with aggressive management of risk factors
Platelet inhibition using aspirin, clopidogrel, or aspirin plus extended-release dipyrida...
I63.9 Cerebral infarction, unspecified
I61.9 Nontraumatic intracerebral hemorrhage, unspecified
I63.50 Cereb infrc due to unsp occls or stenos of unsp cereb artery
I60.9 Nontraumatic subarachn...
Unless stroke is hemorrhagic or patient is undergoing thrombolysis, do not lower BP acutely. This helps to maintain perfusion of penumbra region.
Consider IV thrombolysis in eligible pa...
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