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Treatments for Bilateral stroke

Treatment List for Bilateral stroke

The list of treatments mentioned in various sources for Bilateral stroke includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Management of stroke depends upon the extent of the stroke and the degree of recovery that the patient has, as well as the other health problems and disabilities that the patient may suffer from. Treatments include:
    • Acute stroke management
      • Admission to hospital
      • Care in a specialised stroke unit if possible
      • Urgent imaging - CT/MRI
      • Thrombolytic therapy for ischaemic stroke within 3 hours of event - rt PA. Aspirin with in 48 hours
      • Supportive therapy - IV fluids, electrolyte management, nutrition
      • Blood pressure control
      • Surgical evacuation for expanding haemorrhage with haemorrhagic strokes - in selected patients
      • Nimodipine +/- surgery for SAH
    • Rehabilitation treatments - the treatments used during recovery from stroke
    • Analgesia - in both acute and recovery phase. Musculoskeletal pain is often under recognised in stroke patients
      • Paracetamol
      • NSAID's - with caution due to gastrointestinal, cardiovascular and renal side effects
      • Opiate analgesics - small doses regularly often effective
    • Preventative therapy - after TIA or completed stroke
      • Cease smoking
      • Treat hypertension - antihypertensive medication, weight loss, exercise
      • Treat hyperlipidemia - Lipid lowering agents, dietary management
      • Anti-platelet therapy - aspirin, clopidigrel
      • Management of atrial fibrillation - anticoagulation with warfarin
      • Carotid endarterectomy
      • Carotid stenting
    • Palliative management concentrating in symptom control rather than active intervention may be appropriate if the stroke is extensive, or the patient has severe comorbidities which make a meaningful quality of life an unlikely outcome

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