Ischemic stroke management

As soon as you identify a stroke — Call Stroke code directly by Dialing: 3-CVAT (3-2828)

  • Goal of BP is ischemic stroke: 180/110, medications to use: Labetalol, Nicardipine
  • TPA can be given up to 4.5 hours after the initiation of symptoms, but the benefit decreases as time passes, so if a patient is a TPA candidate try to move things as quickly as possible
  • For patients who have contraindications to TPA, mechanical thrombectomy is another option, which is available to us at Montefiore
  • Hyperglycemia and fevers have been associated with increase in infarct size and worse outcomes. Try to maintain FSG around 140s. Give Tylenol why you work up the reason for fever.