Drug therapy for hemorrhagic stroke

  • Drug therapy for hemorrhagic stroke
    • 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