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Jacobi Medical Center / Albert Einstein College Of Medicine Internal Medicine Residency ProgramSat, 05 Aug 2017 00:40:42 +0000en-US
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3232Ischemic stroke management
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Tue, 18 Jul 2017 20:55:51 +0000http://jacobimed.org/new/?p=1228Continue reading "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.