PBL 3 session 3

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PBL 3 session 3 by Mind Map: PBL 3 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. goals of management stabilize the patient prevent further infarcts

2.1.2. ED ABC intubation recommended to prevent aspiration shouldn't be done if the patient breathes normally oxygen mask for HTN should be below 180/110 for thrombolysis usually gradullay treated to maintain circulation after 24 hours monitoring glucose level swallowing and speech heart function fever investigations IV fluid positioning keeping him flat to maximize the cerebral circulation not longer than 24 hours

2.1.3. short term Thrombolytic therapy tPA eligiblaty Anti platelets Aspirin stroke center well-trained stroke team should be available surgery stenting Statin used if the stroke ischemic

2.1.4. long term medications Aspirin anticoagulation used if the stroke cause is cardiac rehab restore the daily life activities walking aid speech therapy swallowing therapy psychiatrist referral addressing the depression high chance to get PTSD lifestyle modification smoking cessation weight control social worker consultation prognosis 25% die within 2 years mortality higher with hemorragic stroke it depends on the location of infarction the larger the deficits, the poorer the outcome

2.2. Prevention

2.2.1. primary prevention reduce the risk factors metabolic syndrome smoking and alcohol cessation OSA

2.2.2. secondary prevention community and emergency staff awareness OC risk? management and control other diseases especially AF screening campaigns assessment of bleeding disorders

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes