How are stroke patients diagnosed and what treatments are they given?
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This essay report discusses the diagnosis and treatment of stroke patients. It covers the different types of strokes, diagnostic tests such as computed tomography and magnetic resonance imaging, and treatment options including medication and surgery.
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Contents INTRODUCTION...........................................................................................................................3 MAIN BODY..................................................................................................................................3 How are stroke patients diagnosed and what treatments are they given?....................................3 CONCLUSION................................................................................................................................5 REFLECTIVE LOG........................................................................................................................5 REFERENCES................................................................................................................................6 2
INTRODUCTION A stroke is referred as a medical condition which is associated with poor flow of blood to brain that results in cell death. Three main types of stocks are there including ischemic stroke, transient ischemic attack and haemorrhagic stock (Brainin, and Heiss, 2019). This is an essay report which is based on the topic "how are stroke patients diagnosed and what treatments are they given?"This project covers discussion about the stroke patients are diagnosed and types of treatments given to them. MAIN BODY How are stroke patients diagnosed and what treatments are they given? A stroke is cerebrovascular accident which occurs when the flow of blood to brain stops or bleeding in the brain due to rupture of blood vessels. It is a medical emergency for which prompt treatment is very necessary in order to minimise the chances of other complications.The cells of brain which do not get a continuous oxygenated blood supply may die which cause permanent damage to brain. People mainly suffer from haemorrhagic stroke which occurs due to rupture of blood vessels in brain, enables blood to leak or ischemic stroke which happens due to blockage of blood vessels bye thickened mass of blood or severely narrowed arteries. A short episode of symptoms associated with stroke is known as transient ischemic attack (What is a stroke? 2019). The stroke symptoms are relying on the part of brain which is affected. The signs of stroke in different people can be different. In order to remember them, F-A-S-T test is the simplest way. It is very critical to diagnose a stroke as its treatment depends on stroke type and location of brain injury, in some cases. The very first step for assessing a patient with stroke is to determine whether an individual is experiencing haemorrhagic or ischemic stroke as this can help healthcare professionals to initiate correct treatment. In order to diagnose the type of stock, doctors prescribe some test including imaging tests and blood tests. The diagnostic tests help in examining the way brain looks, works as well as receive blood supply (Ebinger, Fiebach and Audebert,2015).Someofthetestsincludecomputedtomography,magneticresonance angiography, computed tomographic angiography, cerebral angiography, magnetic resonance imaging, carotid ultrasound, echocardiogram, physical examinations and blood tests (Stroke Diagnosis, 2019). 3
In computed tomography scan, a picture of brain is creating by using radiation. This is the first test which is given to the patient who has stroke symptoms. The result of computed tomography test provides valuable information regarding the cause of stroke along with the location and the degree to which brain is injured (Gilron, Baron, and Jensen, 2015). This helps in detecting weather the stroke is from bleeding or blood clot. The physical examination includes that general tests that doctors perform like checking blood pressure, listening heartbeat etc. The doctors also perform neurological exam in order to see the way stroke is affecting nervous system. In magnetic resonance imaging, a large magnetic field is used to produce brain image similar as the CT scan. The image created by magnetic resonance imaging is sharper as well as more detailed in comparison to computed tomography scan so, for diagnosing small and deep injuries, this test is often prescribed by doctors.The another method of diagnosing stroke is computed tomographic angiography in which dye is injected in a vein and pictures of blood vessels are taken to look for abnormalities like aneurysm. This test provides a detailed image of arteries in neck and brain. Immediate treatment of stroke can reduce disability and save lives. Its treatment relies on type of stroke and its severity. If the stroke happens due to blood clot, then a clot busting drug help in restoring the flow of blood to damaged area brain. Patients also get blood thinning drugs in hospitals including warfarin or aspirin. The other treatment of stocks include surgery by which the damage vessels of blood are repair and the blood is removed from around the brain (Sifat, Vaidya and Abbruscato, 2017). For treating the ischemic stroke, emergency IV medication is given to patient. The drug therapy helps in break up the clot and improving the chances of survival by reducing complications. The IV injection of tissue plasminogen activator is the standard treatment of ischemic stroke. it helps in restoring the flow of blood by dissolving clot. The another treatment is angioplasty in which a catheter is infused to carotid arteries by an artery in groin. Then, a balloon is inflated to expand the artery which is narrowed and then a stent is inserted in order to support the open artery. The treatment of hemorrhagic stroke emphasizes on reducing pressure in brain caused due to excess fluid and controlling the bleeding. A surgery is performed by doctors if the bleeding area is large for removing blood and relieving pressure on brain. It is also performed to repair issues of blood vessels related to hemorrhagic stroke (Parvez, Parvez and Zadeh, 2014). 4
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CONCLUSION As per the above mentioned report, it has been concluded thatstroke is an emergency situation which occurs due to brakeage of blood vessel or blocked blood vessels. Immediate diagnosis and treatment of it is very necessary in order to reduce the chances of further complications. It can be diagnosed through different tests like computed tomography scan, magnetic resonance imaging etc. IV medication, surgery, angioplasty etc.are the different ways to treat patients with stroke. REFLECTIVE LOG By doing this assignment, I am able to improve my knowledge base regarding the topic and the areas associated with it. I got knowledge about different types of tests through which stroke can be diagnosed and treatments through which it can be treated. This help me in improving the areas within which I was not effective. It supports in determining my weak and strong areas and the areas on which I need to work. While doing this project, I remember my past mistakes and try to not commit the same in this project. I learnt many things about how to research and present findings clearly. In future, if I will get the another chance to perform the project again, then I would like to change the way of presentation of information on the topic. 5
REFERENCES Books and Journals Brainin, M. and Heiss, W.D. eds., 2019.Textbook of stroke medicine. Cambridge University Press. Ebinger, M., Fiebach, J.B. and Audebert, H.J., 2015. Mobile computed tomography: prehospital diagnosis and treatment of stroke.Current opinion in neurology,28(1), pp.4-9. Gilron, I., Baron, R. and Jensen, T., 2015, April. Neuropathic pain: principles of diagnosis and treatment. InMayo Clinic Proceedings(Vol. 90, No. 4, pp. 532-545). Elsevier. Parvez, K., Parvez, A. and Zadeh, G., 2014. The diagnosis and treatment of pseudoprogression, radiationnecrosisandbraintumorrecurrence.Internationaljournalofmolecular sciences,15(7), pp.11832-11846. Sifat,A.E.,Vaidya,B.andAbbruscato,T.J.,2017.Blood-brainbarrierprotectionasa therapeutic strategy for acute ischemic stroke.The AAPS journal,19(4), pp.957-972. Online Whatisastroke?2019.[Online].Availablethrough: <https://www.radiologyinfo.org/en/info.cfm?pg=stroke> Stroke Diagnosis,2019. [Online]. Available through: <https://www.stroke.org/-/media/stroke- files/about-stroke/stroke-symptoms/lets-talk-about-stroke-diagnosis-ucm309722.pdf? la=en> 6