THE ABC OF STROKE MANAGEMENT

 

ACUTE STROKE

A: Airway

B: Breathing

C: Cardio-respiratory

D: Drugs

E:  Electrolyte

F:  Fluids

G:  Glucose

H:  Hydration

I :  Intake/nutrition : dysphagia à enteral/parenteral nutrition

                                caloric/nutrients/vitamins/trace elements

REHABILITATION: as soon as the condition of patient is stable

 

IMPORTANT THINGS TO BE KEPT IN MIND:

•         STROKE  is first of all a vascular event.It is and should be treated as a part of systemic(vascular) diseases

•         The already infarcted brain tissue can not regenerate.The only left for intervention is the penumbra/ischemic area,which treatment depend on the normalization  of the risk factor influencing (systemic) vascular con- dition

•         Up to the moment the what so called “neuro protective agents” has no evidence  proved  benefits (Penhall,2001)

•         Rehabilitation measures seem to be beneficial due to the brain plasticity