TATALAKSANA

1. Stabilisasi jalan nafas, sirkulasi

2. Trombolisis
TATALAKSANA
3. Antikoagulan
4. Antiplatelet
5. Atasi Faktor Resiko
6. Nutrisi (kebutuhan kalori
25-30kkal/kg/hari)
7. Fisioterapi
COMPLICATIONS
• Hemorrhagic transformation (fewer than 5% of patients.)—result
from the reperfusion of infarcted tissue due to the delayed reopening
of the occluded artery, occurs most frequently after cardioembolic
stroke, in which occlusions are most likely to recanalize.
• Brain edema—usually reaches its maximum between 3 and 5 days
after stroke but can become symptomatic anytime from 1–10 days.
Symptoms related to brain edema are primarily caused by mass
effect, resulting in tissue shifts and compression of surrounding brain
structures.
COMPLICATIONS
• Seizures— Most occurring within the first 24 hours. Early seizures do not
appear to affect stroke mortality or functional outcome. The incidence of
late seizures (usually within 12 months of the original stroke) is slightly
greater than early seizures. Patients with late seizures are also more likely
to have a recurrence (approximately 50%) than those with early seizures
(approximately 30%).
• Medical complications
The most common is infection, with pneumonia and urosepsis each occurring with a
frequency of about 5%.
Pulmonary embolism develops in about 1% of all stroke patients, but accounts for
10% of stroke-related deaths.
DVT develops in up to 50% of patients with severe stroke.
Hyperglycemia frequently develops after acute stroke, even in patients not
previously diagnosed with diabetes.
PROGNOSIS
• The risk of death after stroke is greatest in the first month and is less for
ischemic than for hemorrhagic stroke
• Thirtyday mortality after ischemic stroke is approximately 20%.
• Death is more likely to occur from medical complications than neurologic
complications and in patients with severe neurologic deficits, advanced
age, cardiovascular disease, and hyperglycemia.
• Recurrent stroke, the risk is highest immediately after stroke, with
estimates ranging from 3–10% within the first 30 days. Recurrence rates
appear highest for patients with atherosclerotic infarction
• more than 70% of stroke survivors have some detectable neurologic deficit.
The majority of neurologic recovery occurs within the first 3–6 months
after stroke, but cognitive and language deficits may continue to improve
dramatically for up to 2 years. However, even if deficits persist,
rehabilitation services can teach patients effective adaptive techniques that
increase function and independence.
PROGNOSIS
• Depression, which develops in 30–60% of patients after stroke
• Within 3–6 months, more than 85% of stroke survivors walk
independently
• With an increased use of rt-PA and the development of new
interventional and neuroprotective strategies, the number of patients
with an excellent functional outcome after acute ischemic stroke
should only increase in the future.