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CVA_Initial_Supportive_Management

Initial Supportive Management of a Patient Presenting with a Cerebrovascular Accident (CVA)

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CVA_Initial_Supportive_Management

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  1. Initial Supportive Management of a Patient Presenting with a Cerebrovascular Accident (CVA) A Clinical Approach to Early Stroke Care

  2. Introduction • - Definition of CVA (Stroke) • - Importance of early management • - Goals of initial supportive care

  3. Pre-Hospital Care • - Recognizing stroke symptoms (FAST: Face, Arms, Speech, Time) • - Immediate activation of EMS • - Oxygen administration if needed • - Transport to a stroke-capable hospital

  4. Emergency Department Assessment • - Rapid triage and history-taking • - Vital signs monitoring (BP, HR, O2 saturation) • - Neurological examination (NIH Stroke Scale) • - Blood glucose check • - Immediate non-contrast CT scan

  5. Airway, Breathing, and Circulation (ABC) Management • - Ensure airway patency • - Supplemental oxygen for hypoxia • - Maintain blood pressure within appropriate range • - IV access and fluid management

  6. Specific Supportive Measures • - Blood pressure management • - Temperature and glucose control • - Prevention of aspiration (NPO until swallowing assessment) • - Seizure management (if applicable)

  7. Stroke Classification and Initial Treatment • - Ischemic stroke: Thrombolysis (tPA eligibility) • - Hemorrhagic stroke: BP control, neurosurgical consultation

  8. Multidisciplinary Team Approach • - Role of neurologists, emergency physicians, nurses, rehab specialists • - Early involvement of speech and physical therapy • - Family communication and support

  9. Summary and Key Takeaways • - Importance of rapid intervention • - Critical role of initial supportive measures • - The need for a coordinated, team-based approach

  10. References • - Guidelines from AHA/ASA • - Latest research and stroke management protocols

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