Treatment
Alteplase (tpa) is an effective medication for acute ischemic stroke. When given within 4.5 hours, treatment with tpa significantly improves the probability of a favourable outcome versus treatment with placebo.
The outcome of brain ischemia is influenced by the quality of subsequent supportive care. Systemic blood pressure (or slightly above) should be maintained so that cerebral blood flow is restored. Also, hypoxaemia and hypercapnia should be avoided. Seizures can induce more damage; accordingly, anticonvulsants should be prescribed and should a seizure occur, aggressive treatment should be undertaken. Hyperglycaemia should also be avoided during brain ischemia.
Read more about this topic: Brain Ischemia
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