Acute Stroke Care

Ken Uchino, Jennifer Pary, James Grotta

• Publisher: Cambridge University Press
• Year: 2011
• Print ISBN: 9780521184847
• eBook ISBN: 9781139066099
• Edition: 2
• Topic: Medicine
• Subtopic: Neurology

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? How do I do the right things in the right order? This book will help you answer these critical questions. It provides practical advice on the care of stroke patients in a range of acute settings. The content is arranged in chronological order, covering the things to consider in assessing and treating the patient in the emergency department, the stroke unit and then on transfer to a rehabilitation facility. All types of stroke are covered. This new edition provides updated information from recently completed clinical trials and added information on endovascular therapy, hemicraniectomy for severe stroke, DVT prophylaxis and stroke prevention. A comprehensive set of appendices contain useful reference information including dosing algorithms, conversion factors and stroke scales.

Table of contents

• Cover
• Half-title
• Title
• Copyright
• Contents
• Preface to the second edition
• Abbreviations
• 1 Stroke in the emergency department
• 2 What to do first
• 3 Ischemic stroke
• 4 TPA protocol
• 5 Neurological deterioration in acute ischemic stroke
• 6 Ischemic stroke prevention: why we do the things we do
• 7 Transient ischemic attack (TIA)
• 8 Intracerebral hemorrhage (ICH)
• 9 Subarachnoid hemorrhage (SAH)
• 10 Organization of stroke care
• 11 Rehabilitation
• Appendix 1 Numbers and calculations
• Appendix 2 IV TPA dosing chart
• Appendix 3 Sample admission orders
• Appendix 4 Sample discharge summary
• Appendix 5 Stroke radiology
• Appendix 6 Transcranial Doppler ultrasound (TCD)
• Appendix 7 Heparin protocol
• Appendix 8 Insulin protocol
• Appendix 9 Medical complications
• Appendix 10 Brainstem syndromes
• Appendix 11 Anatomy of cerebral vasculature
• Appendix 12 Stroke in the young and less common stroke diagnoses
• Appendix 13 Brain death criteria
• Appendix 14 Neurological scales
• Recommended reading
• References
• Index