Acute ischemic stroke review.
More than 700,000 people have a stroke each year in the United States. A diagnosis of stroke formerly elicited a nihilistic approach, but this has substantially changed in the last decade. Currently, time is brain, and it is important for all disciplines to work together to initiate acute stroke protocols in the emergency department and identify patients within the therapeutic time window for thrombolytic and neuroprotective therapies. Evolving protocols, management, and nursing care all have important implications during the acute phase of ischemic stroke. Patient and family education on risk reduction must also be addressed by the entire healthcare team.
Hinkle
Janice L
JL
University of Oxford Acute Stroke Programme, Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Headington, Oxford, England. janice.hinkle@ndm.ox.ac.uk
Guanci
Mary McKenna
MM
D000208:Acute Disease; D002545:Brain Ischemia / Q000150:complications*; D002560:Cerebrovascular Circulation; D002985:Clinical Protocols; D000075202:Contraindications; D004638:Emergency Treatment / Q000379:methods* / Q000451:nursing; D006801:Humans; D006973:Hypertension / Q000209:etiology; D009460:Neurologic Examination; D018696:Neuroprotective Agents / Q000627:therapeutic use; D024802:Nurse's Role; D009730:Nursing Assessment; D010348:Patient Care Team; D010353:Patient Education as Topic; D018579:Patient Selection; D011322:Primary Prevention; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012720:Severity of Illness Index; D020521:Stroke / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000379:methods / Q000451:nursing; D013997:Time Factors; D014481:United States / Q000453:epidemiology
D018696:Neuroprotective Agents