Anticoagulants and platelet inhibitors are contraindicated
Management of hypertension is main focus
Oral and IV agents are used to maintain BP within a normal to high-normal range
Seizure prophylaxis is situation-specific
Surgical therapy for hemorrhagic stroke
Surgical interventions used to treat hemorrhagic strokes include
Resection
Clipping of an aneurysm
The neurosurgeon places a metallic clip on the neck of the aneurysm to block blood low and prevent rupture.
The clip remains in place for life
Evacuation of hematomas
Procedure is chosen based on cause of stroke
Rehabilitation
After stroke has stabilized for 12 to 24 hours, interprofessional care shifts from preserving life to lessening complications, disability and attaining optimal functioning
Patient may be transferred to a rehabilitation unit, outpatient therapy, or home care–based rehabilitation
