Acute stroke blood pressure management

Common Questions and Answers about Acute stroke blood pressure management


Avatar n tn On June 22, 2008 my mother had a massive stroke, due to high blood pressure. She was awake and talking when she arrived to the hospital, now she is in a coma. Doctors are currently draining fluid from here brain, I was told this is a slow process and could take several days if not weeks. She responds to pain and at times responds to commands of myself and doctors. Has anyone had a similar experience, if so any advice will be truely appreciated. I am a only chid.
Avatar m tn Hi, Delirium is the presenting feature in a few stroke patients, but can complicate the clinical course of acute stroke in up to 48% of cases. Old age, extensive motor impairment, previous cognitive decline, metabolic and infectious complications, and sleep apnoea are all predisposing conditions for delirium. Patients with delirium have longer hospitalizations and a poorer prognosis, and are at increased risk of developing dementia.
Avatar f tn Unfortunately To date, there have been no studies that have evaluated either the prevention or the management of delirium post-stroke. I agree with the doctors as the time taken for recovery may be in months or even years. But preventing malnutrition and removal of the cause of stroke helps in quick recovery. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
Avatar f tn Depending on the results and evaluation of the attending physician, critical decisions may focus on the individualized management of each patient, whether blood pressure control or determination of risk/benefit for thrombolytic intervention are initiated. It is best that you check with the attending also to ease any doubts. Take care and best regards.
Avatar n tn So even neurologists and others who specialize in stroke management will not give a prognosis as to outcome or time.
451975 tn?1372332199 They did all the normal tests MRI, MRA, and tons of blood work. Although the CT scan showed something that they thought may have been a mini stroke the other tests ruled it out and they diagnosed me with a silent or atypical migraine. I had all symptoms of a stroke. The numbness, tingling, drooping of the eyes and mouth on one side, no facial expressions and I could hardly talk. It has been one week and my strength is still not back on my right side and and my speech is still very slurred.
Avatar n tn I was diagnosed with severe sleep apnea and chronic rem sleep deprivation at 51. CPAP has elminated high blood pressure, use of statins, helped me lose 40 lbs, eliminated years of acid reflx and losec, night time urination. I could go on and on. All of this led me to ENT where I finally realized that I had a long term sinus problem that may play a significant role in the apnee. I use NeilMed sinus flood sinus rines twice a day and its a life saver.
Avatar n tn This just happened again to my thumb after 10 years and my cardiologist prescribed high blood pressure meds...and I DON'T have high blood pressure, I've been running for 25 years! If anyone has a diagnosis please share...I know your frustration.
Avatar n tn My PSA is normal, prostate is not swollen, blood pressure normal, no cholesterol, blood chemistry is fine. I don't smoke and drink only occasionally. I am about 10-15 pounds overweight but that's not unusual for a man my age. I don't exercise enough but I do watch what I eat. In every occurence, the pattern is the same: blood in my semen and more often than not, small blood clots. When I urinate after, more blood comes out along with a medium to large size blood clot.
Avatar n tn I have been to about 30 doctors- including ENT's allergists, neurologists, chiropracters, opthamologists. psychologists, dentists and everything else u can think of. All CT scans, MRI of brain and blood work keep coming back clean and ok. Nothing I try seems to work. There was a period of time about 3 and a half years ago that the symptoms lifted for about 4 months and then it returned full force.
Avatar n tn In addition to management of the underlying causes, major considerations in acute treatment of increased ICP relates to the management of stroke and cerebral trauma.The standard modes of treatment are hyperventilation,controlling blood pressures with calcium channel blockers, reducing mass effect with craniotomies, inserting an extraventricular drain, medications like mannitol can also help. Consult your neurophysician for further assistance. Best.
Avatar n tn The most important treatable factors linked to TIAs and stroke are high blood pressure, cigarette smoking, heart disease, carotid artery disease, diabetes, and heavy use of alcohol. It is good that medications are now available to reduce and eliminate these factors. Lifestyle changes such as eating a balanced diet, maintaining healthy weight, exercising, and smoking and alcohol cessation can also help.
Avatar m tn metabolic syndrome, which is a cluster of risk factors for heart disease (81 percent); high blood pressure (71 percent); and diabetes (34 percent). More than half of participants reported having a heart attack prior to entering the study. The rationale for the AIM-HIGH study was based in part on a large number of observational studies that consistently showed that low HDL cholesterol increases the risk of cardiovascular events in men and women, independent of high LDL cholesterol.
Avatar f tn Possible causes that may need to be considered include nerve impingement at spinal level, migraine, strokes/ TIA, neurodegenerative conditions, infections involving the nervous system, vascular causes, low blood pressure, low blood sugar, micronutrient deficiencies, hormonal/ endocrine imbalance etc. MS is an unlikely possibility with a clear MRI.
469720 tn?1388149949 It really provides the sobering picture of a man who battled with high blood pressure and cholesterol elevation. Despite having apparently the best physicians and medicine that we can hope to provide, he succumbed to heart disease. Science still has a way to go to identify the vulnerable plaque. There are ways of predicting unstable plaque in the carotid vessel which causes stroke.
4190741 tn?1370181432 (Increased lung capacity due to yoga’s emphasis on deeper and fuller breathing.) 13.Improves circulation of blood. 14.Improves stress-management (or less stress). (Yoga’s emphasis on deepening and lengthening the breath helps to initiate the body’s relaxation response.) 15.Lowers levels of adrenaline, cortisol, and catecholamines (all responses to stress.) 16.Increases energy and vitality. 17.Lowers blood pressure. 18.Lowers pulse rate. 19.Lowers cholesterol. 20.
Avatar n tn If the pulse rate drops severely, it can cause cardiac arrest. Prolonged, severe high blood pressure may cause seizures, bleeding in the eyes, stroke, or death. When to Contact a Medical Professional Call your health care provider if you have symptoms of autonomic hyperreflexia. Prevention Prevention of autonomic hyperreflexia includes avoiding medications that cause this condition or make it worse.
Avatar dr m tn Untreated obstructive sleep apnea can lead to chronic fatigue, depression, anxiety, weight gain, high blood pressure, heart disease, heart attack and stroke. ____________________________________________ Steven Y. Park, M.D., author of Sleep, Interrupted: A physician reveals the #1 reason why so many of us are sick and tired. Endorsed by New York Times best-selling authors Dr. Christiane Northrup, Dr. Dean Ornish, Dr. Mark Liponis, and Mary Shomon. www.doctorstevenpark.
Avatar f tn There is retention of urine. Patient is catheterized. But he is apparently better except fluctuation of blood pressure.” Here's a timeline of his hospitalization -- # Patient was found in his room in the state of unconscious, at 9-00 am on date 24/03/09. We guess that the patient got unconscious at about 11-00 pm, on 23/03/2009, he was taken to the nearest hospital at 9-15 am on 24/3/2009 # Exact cause of unconsciousness is not clearly known.
405614 tn?1329147714 My mother had several strokes, but she also had poorly controlled high blood pressure, high cholesterol, and congestive heart failure, among other things. I suppose CADASIL is a possibility; mom could have started with that but also added many risk factors that contributed to large vessel issues. After a few hours of reading, I still return to the fact that I experienced neurological symptoms (tremors, loss of balance, fatigue), had an MRI, and all those lesions were discovered.
1069105 tn?1256704012 No one notified him and he didn't know I was given Plavix to thin the blood. He told me I don't need blood thinner treatment so I stopped. When stroke, you see Neurologist not heart specialist in Melbourne. I'm glad your mom is doing ok. Are you living with your mum? My mum is in KL living with my brother. She was on a bowl of tablets every morning. It was for heart, blood pressure, diabetes, etc.... Her doctor (General Hospital) never tell her what kind of heart disease that she has.
Avatar n tn Since being on the Solatol it has dropped to 88/58 and during one exam it was as low as 80/58. The low blood pressure doesn't bother me at all, since my normal reading is so low. But the palpitations are consistent. Just lifting my 2 year old causes me to have irregular rhythms. I am a 29 year old female, don't drink, don't smoke, don't exercise, average height and weight. I am always so tired, that I can fall asleep almost anywhere.
1023578 tn?1251748578 I normally have low blood pressure so that was really high for me and the heart beat thing, ugh, just felt awful but not painful but I did have an ice-pick poking sharp intermittent pain that felt like someone was stabbing the chest wall from the inside out.
Avatar m tn Before commenting, do you have any more info on the acute MI? How long ago was this and did they stent any vessels to get blood to the tissue? If they didn't do any intervention, I am surprised at your normal left ventricle function and brilliant LVEF @ 65%.
712042 tn?1254572809 I am no longer in pain, have no shortness of breath unless I reach some level of exertion, rare coronary spasms, mild to moderate chest pressure and occasional chest tightness that requires nitro SL in addition to the 24/7 three 0.4 mg nitro patchs I need to wear. My heart and other body parts are extremely healthy. I have my moments where silly minimal exertion brings on chest tightness and slams me up against the wall! It's all about exertion and stressors.
Avatar n tn H Im sorry to hear about your and your wife's ordeal. While her blood pressure is on the higher side, it is not in a range that she should be in immediate risk of the complications you are mentioning. Medical therapy should help lessen this risk even further. I think it will be important to establish the rapport with the physician that will take care of her now and after the operation so he/she gets to know her better.
Avatar f tn Mainly elderly patients who had just wanted reassurance their blood pressure was ok or a repeat prescription and so on - but in the scheme of things I had presented with what he thinks are signs of a relapse and I have a very valid reason for a visit - but why am I reluctant? I dont really know but suspect I'm afraid my complaints are not serious enough to waste ER departments time....... PS: I still haven't gone, maybe tomorro..........
233488 tn?1310696703 That notwithstanding, entopic phenomena resulting from this event induce acute floaters. These arise from the posterior vitreous cortex itself as well as tissue that is sometimes adherent to the posterior vitreous cortex, typically parapapillary fibro-glial in origin. When attributable to myopic vitreopathy,3 PVD occurs 10 to 15 years earlier in life. The subjective experience of sudden floaters is very common after PVD.
Avatar f tn Yes, while many people have these viral pathogens in their body-like EBV and CMV- in a dormant state, in a few re-infection happens usually when they are imuno-compromized. Acute Lyme's disease, is fully recognized by most doctors in its acute only aspect and treated by antibiotics for 6-8 weeks usually. What determines acute , I think, has to do with the length time that has passed from the initial infection.