The Stroke Clinician's Handbook: A Practical Guide to the Care of Stroke Patients

270 Pages·2008·6.77 MB·English

by  Robert N Gan

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.
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Dedicated to the undeniable reasons why we do not give up…
our families, friends, mentors, colleagues, students, and patients.
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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
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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
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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