#MedicalCase

Guidelines for Rehabilitation of Acute Ischaemic Stroke (Critical care physician)

Dr. Sushmaja., BPT

 

Medical Case Details:

My patient is 63 years old and diagnosed with acute ischaemic stroke with associated comorbidities of DM (diabetes mellitus), HTN (hypertension), bronchial asthma, and s/p (secondary prevention) CABG in 2014. He was on BIPAP (Bilevel positive airway pressure) support and two liters of O2, now weaned off, currently on Ryle's tube and urinary catheter. Could anyone guide the expected complications and how to prevent or identify them early while continuing with early mobilization during physiotherapy sessions?

 


    Discussions


    Dr. Zulfiqar Ahmed
    Diabetologist

    She should have Ecg , may be holter later if required. Doppler for carotid arteries and May need Echo as well if clinically needed. Her diabetes and hypertension should be optimised and should be on anti platelets and statins high dose. She may need insertion of PEG tube later if issues of swallowing are there so she may need to be assessed by a speech and language therapist. Will need physiotherapy and occupational therapy assessment before discharge.

    21.Nov, 05:46am



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