DO S OF ISCHEMIC STROKE

1.Stabilization of airway, breathing and circulation.

2.Normal saline should be used 1,dextrose/hypotonic fluids may worsens cerebral edema
3.Hypoand hyperglycemia worsens neuronal injury and must be treated, AHA
recommends to keep serum glusoce to 140-180 mg/dl 2
3.Swallow evaluation must be done before giving orally(Nurse/Speech therapist)
4.Blood
pressure should not be treated acutely unless the systolic blood pressure >220
mmHg or diastolic blood pressure >120 mmHg
or the patient has active IHD, heart failure, aortic dissection, hypertensive encephalopathy
3
1. Intensive care management of acute ischemic stroke.
 Burns JD, Green DM, Metivier K, DeFusco C 
 Emerg Med Clin North Am. 2012;30(3):713 
2.Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019
Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A
Guideline for Healthcare Professionals From the American Heart
Association/American Stroke Association.Powers WJ, Rabinstein AA, Ackerson T,
Adeoye OM, Bambakidis NC, Becker K, Biller J, Brown M, Demaerschalk BM, Hoh B,
Jauch EC, Kidwell CS, Leslie-Mazwi TM, Ovbiagele B, Scott PA, Sheth KN, Southerland
AM, Summers DV, Tirschwell DL 
 Stroke. 2019;50(12):e344. Epub 2019 Oct 30. 
3. Guidelines for the Early Management of Patients With Acute Ischemic Stroke:
2019 Update to the 2018 Guidelines for the Early Management of Acute
Ischemic Stroke: A Guideline for Healthcare Professionals From the American
Heart Association/American Stroke Association,Powers WJ, Rabinstein AA,
Ackerson T, Adeoye OM, Bambakidis NC, Becker K, Biller J, Brown M,
Demaerschalk BM, Hoh B, Jauch EC, Kidwell CS, Leslie-Mazwi TM, Ovbiagele
B, Scott PA, Sheth KN, Southerland AM, Summers DV, Tirschwell DL Stroke.
2019;50(12):e344. Epub 2019 Oct 30.