The Stroke Clinician's Handbook: A Practical Guide to the Care of Stroke Patients PDF
Preview The Stroke Clinician's Handbook: A Practical Guide to the Care of Stroke Patients
The Stroke Clinician’s Handbook A Practical Guide to the Care of Stroke Patients TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk The Stroke Clinician’s Handbook A Practical Guide to the Care of Stroke Patients editors Robert N Gan N Venketasubramanian Ramani World Scientific NEW JERSEY • LONDON • SINGAPORE • BEIJING • SHANGHAI • HONG KONG • TAIPEI • CHENNAI Published by World Scientific Publishing Co. Pte. Ltd. 5 Toh Tuck Link, Singapore 596224 USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601 UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE Library of Congress Cataloging-in-Publication Data The stroke clinician's handbook : a practical guide to the care of stroke patients / editors, Robert N. Gan, N. Venketasubramanian Ramani. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-981-277-879-6 (hardcover : alk. paper) ISBN-10: 981-277-879-9 (hardcover : alk. paper) 1. Cerebrovascular disease--Handbooks, manuals, etc. 2. Cerebrovascular disease--Patients-- Care--Handbooks, manuals, etc. I. Gan, N. Robert. II. Ramani, N. Venketasubramanian. [DNLM: 1. Stroke--therapy--Handbooks. 2. Stroke--diagnosis--Handbooks. 3. Stroke-- prevention & control--Handbooks. WL 39 S9215 2008] RC388.5.S85236 2008 616.8'1--dc22 2008002790 British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. Copyright © 2008 by World Scientific Publishing Co. Pte. Ltd. All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. Disclaimer. The authors make no warranty regarding the contents in this book. The protocols described in this book are guidelines, may be modified depending on the clinical situation, and may not apply to a specific patient. Any products mentioned should be used in accordance with the prescribing information provided by the manufacturer. Typeset by Stallion Press Email: [email protected] Printed in Singapore. SC - The Stroke Clinician's.pmd 1 5/20/2008, 6:32 PM b604_FM.qxd 1/31/2008 10:36 AM Page v FA Dedicated to the undeniable reasons why we do not give up… our families, friends, mentors, colleagues, students, and patients. b604_FM.qxd 1/31/2008 10:36 AM Page vi FA TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk b604_FM.qxd 1/31/2008 10:36 AM Page vii FA CONTENTS Preface xi Contributing Authors xiii List of Abbreviations xix TIA AND ACUTE STROKE Prehospital Stroke Evaluation and Triage 1 HC Chua Stroke/TIA versus Mimics 7 RN Gan Admit to Hospital versus Clinic 11 NC Suwanwela Anterior versus Posterior Circulation Syndrome 15 MP Yumul and J Navarro Brain Imaging 19 CCT Lim Admit to Stroke Unit or Ward 27 NV Ramani Stroke Scales and Classifications 31 RN Gan Basic Admitting Orders and Stroke Clinical Pathway 51 N Asiah AA and W Soo TIA and Acute Ischemic Stroke Basic Investigations 73 JL Padilla Thrombolysis (rTPA) for Acute Ischemic Stroke 79 RN Gan Antiplatelets 89 JL Pascual and HM Chang Blood Pressure in Acute Ischemic Stroke 93 A Roxas Diagnostic Tests for TOAST Classification 101 D Ratanakorn and J Keandoungchun vii b604_FM.qxd 1/31/2008 10:36 AM Page viii FA viii The Stroke Clinician’s Handbook Anticoagulation 111 H Basri Ischemic Stroke in Young Adults and Cerebral Venous Thrombosis 119 JL Pascual and CLH Chen Acute Intracerebral Hemorrhage Diagnostic Tests 123 SJ Agustin and RN Gan Medical and BP Management 127 RN Gan and E Wang Surgery 131 A Chua Acute Subarachnoid Hemorrhage Diagnostic Tests 137 KJ Khu and A Chua Medical Management 141 KJ Khu and A Chua Surgery and Intervention 147 SK Dinesh and I Ng Blood Sugar in Acute Stroke 151 R Singh Fluid and Nutrition in Acute Stroke 159 C Chua and MCZ San Jose Rehabilitation, Physical, Occupational and Speech Therapy 169 S Young Worsening after Stroke 183 RN Gan and KELee Increased Intracranial Pressure 187 EV Collantes and ES Bitanga Fever and Infection 193 MJ Mamauag Deep Vein Thrombosis and Pulmonary Embolism 197 RMR Divinagracia Myocardial Infarction in Acute Stroke 207 BPL Chan b604_FM.qxd 1/31/2008 10:36 AM Page ix FA Contents ix POST-ACUTE CARE AND PREVENTION Antithrombotics: Antiplatelets and Anticoagulant 213 RN Gan, NV Ramani and KS Tan Blood Pressure and Antihypertensives 221 SHLee Cholesterol 225 MP Yumul and NV Ramani Diabetes Mellitus 229 A Aquino Lifestyle Risk Factor Control 233 MCZ San Jose and C Chua Carotid Endarterectomy and Angioplasty/Stenting 237 P Rivera Index 243
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