Treatment Strategies for Hemorrhagic Stroke: Goals and Management

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HEMORRHAGI
C STROKE
 
DONE BY
Assist. Lect. Shaymaa Hasan
Abbas
 
DESIRED TREATMENT
OUTCOMES
 
The short-term goals for the treatment of
hemorrhagic stroke include rapid
neurointensive care treatment to
maintain adequate oxygenation,
breathing, and circulation. Management
of increased intracranial pressure and
blood pressure (BP) are important in the
acute setting.
 
DESIRED TREATMENT
OUTCOMES
 
Long-term management includes
prevention of complications and
prevention of a recurrent bleed and
delayed cerebral ischemia. Prevention of
long-term disability and death related to
them stroke are important regardless of
the type of stroke.
 
TREATMENT OF ACUTE
HEMORRHAGIC STROKE
 
There is no proven treatment for
intracerebral hemorrhage. Management
is based on neurointensive care treatment
and prevention of complications.
Treatment should be provided to manage
the needs of the critically ill patient
including management of increased
intracranial pressure, seizures, infections,
and prevention of re-bleeding and
delayed cerebral ischemia
 
TREATMENT OF ACUTE
HEMORRHAGIC STROKE
 
Blood pressure is often elevated after
hemorrhagic stroke and appropriate
management is important to prevent re-
bleeding and expansion of the
hematoma. Blood pressure can be
controlled with IV boluses of labetalol 10
to 80 mg every 10 minutes up to a
maximum of 300 mg or with IV infusions of
labetalol (0.5 to 2 mg/minute) or
nicardipine (5 to 15 mg/hour).
 
TREATMENT OF ACUTE
HEMORRHAGIC STROKE
 
Deep vein thrombosis prophylaxis with
intermittent compression stockings should
be implemented early after admission.
 
TREATMENT OF ACUTE
HEMORRHAGIC STROKE
 
Oral nimodipine is recommended in
subarachnoid hemorrhage to prevent
delayed cerebral ischemia. Delayed
cerebral ischemia occurs 4 to 14 days
after the initial aneurysm rupture and is a
common cause of neurologic deficits and
death.
 
TREATMENT OF ACUTE
HEMORRHAGIC STROKE
 
Hemostatic Therapy: Recombinant factor
VIIa has been shown to have a benefit in
the treatment of ICH.
 
THANK YOU
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Short-term goals for treating hemorrhagic stroke involve rapid neurointensive care to maintain adequate oxygenation, breathing, and circulation, along with managing increased intracranial pressure and blood pressure. Long-term management focuses on preventing complications, recurrent bleeding, delayed cerebral ischemia, and long-term disability. Management of acute hemorrhagic stroke includes neurointensive care treatment and prevention of complications, with emphasis on controlling blood pressure, preventing re-bleeding, and managing deep vein thrombosis. Other treatments may include oral nimodipine for subarachnoid hemorrhage and hemostatic therapy with recombinant factor VIIa.

  • Hemorrhagic Stroke
  • Treatment Strategies
  • Neurointensive Care
  • Blood Pressure Control
  • Prevention

Uploaded on Aug 30, 2024 | 13 Views


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  1. HEMORRHAGI C STROKE DONE BY Assist. Lect. Shaymaa Hasan Abbas

  2. DESIRED TREATMENT OUTCOMES The short-term goals for the treatment of hemorrhagic stroke include rapid neurointensive care treatment to maintain adequate oxygenation, breathing, and circulation. Management of increased intracranial pressure and blood pressure (BP) are important in the acute setting.

  3. DESIRED TREATMENT OUTCOMES Long-term management includes prevention of complications and prevention of a recurrent bleed and delayed cerebral ischemia. Prevention of long-term disability and death related to them stroke are important regardless of the type of stroke.

  4. TREATMENT OF ACUTE HEMORRHAGIC STROKE There is no proven treatment for intracerebral hemorrhage. Management is based on neurointensive care treatment and prevention of complications. Treatment should be provided to manage the needs of the critically ill patient including management of increased intracranial pressure, seizures, infections, and prevention of re-bleeding and delayed cerebral ischemia

  5. TREATMENT OF ACUTE HEMORRHAGIC STROKE Blood pressure is often elevated after hemorrhagic stroke and appropriate management is important to prevent re- bleeding and expansion of the hematoma. Blood pressure can be controlled with IV boluses of labetalol 10 to 80 mg every 10 minutes up to a maximum of 300 mg or with IV infusions of labetalol (0.5 to 2 mg/minute) or nicardipine (5 to 15 mg/hour).

  6. TREATMENT OF ACUTE HEMORRHAGIC STROKE Deep vein thrombosis prophylaxis with intermittent compression stockings should be implemented early after admission.

  7. TREATMENT OF ACUTE HEMORRHAGIC STROKE Oral nimodipine is recommended in subarachnoid hemorrhage to prevent delayed cerebral ischemia. Delayed cerebral ischemia occurs 4 to 14 days after the initial aneurysm rupture and is a common cause of neurologic deficits and death.

  8. TREATMENT OF ACUTE HEMORRHAGIC STROKE Hemostatic Therapy: Recombinant factor VIIa has been shown to have a benefit in the treatment of ICH.

  9. THANK YOU

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