My father has a brain hemorrhage. What treatment would you suggest?
Patient's Query
Hello doctor,
My father has a brain hemorrhage. He has multiple blood clots. I am attaching the CT scan reports. Please have a look.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
- These are not blood clots but areas of bleeding within the brain.
- He should be treated with hemostatic agents till the resolution of the hemorrhage and edema.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the excellent and detailed response.
Can you please suggest a treatment for this condition? I stay in a small town with limited medical facilities.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
It is important to ensure the following is done to him:
- Perform endotracheal intubation if he has a decreased level of consciousness and poor airway protection.
- Cautiously lower blood pressure to a mean arterial pressure (MAP) less than 130 mm Hg, but avoid excessive hypotension.
- Intubate and hyperventilate if intracranial pressure is increased. Initiate the administration of Mannitol for further control.
- Maintain euvolemia, using normotonic rather than hypotonic fluids, to maintain brain perfusion without exacerbating the brain edema.
- Avoid hyperthermia.
- Correct any identifiable coagulopathy with fresh frozen plasma, vitamin K, protamine, or platelet transfusions.
- Initiate Levetiracetam or another anticonvulsant to prevent seizure activity.
I hope this helps.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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