Sign Up for a Free Account
  • Updated 07.21.2021
  • Released 12.30.2003
  • Expires For CME 07.21.2024

Stroke: supportive care



Acute ischemic stroke accounts for more than half of the hospitalizations for neurologic disease. Meticulous, aggressive supportive care for the acute stroke patient is imperative in order to achieve the best possible outcome and to avoid the many medical complications that frequently follow stroke. The author provides an overview of the current literature, including the most recent guidelines from the American Stroke Association.

Key points

• Lowering blood pressure at acute ischemic stroke onset below general guidelines values of 220/120 should be avoided; lowering pressures acutely to just below 185/110 is recommended when thrombolytic therapy is intended.

• Volume repletion and circulatory volume maintenance is crucial; hypotonic saline and intravenous dextrose should be avoided.

• The head of the bed should be lowered if perfusion limitation during acute ischemic stroke is suspected but raised when mounting cerebral edema or elevated ICPs are suspected.

• Meticulous medical care, including good glycemic control, prompt treatment of fever and infection, early and effective measures to prevent deep vein thrombosis, and the continuation or early addition of statin therapy improves outcome.

• Early mobilization reduces the frequency of medical complications and improves outcome.

This is an article preview.
Start a Free Account
to access the full version.

  • Nearly 3,000 illustrations, 
including video clips of 
neurologic disorders.

  • Every article is reviewed by our esteemed Editorial Board for accuracy and currency.

  • Full spectrum of 
neurology in 1,200 
comprehensive articles.

Questions or Comment?

MedLink, LLC

10393 San Diego Mission Rd, Suite 120

San Diego, CA 92108-2134

Toll Free (U.S. + Canada): 800-452-2400

US Number: +1-619-640-4660