OSCE AND LEARNING POINTS: HEMIPLEGIA
1. Therapeutic window for stroke : Current guidelines for the management of patients with acute ischemic stroke published by the American Heart Association Stroke Council include specific recommendations for the administration of intravenous recombinant tissue plasminogen activator (rtPA). rtPA should be administered to eligible patients who can be treated in the time period of 3 to 4.5 hours after stroke. (Evedenced by A recent prospective study, the European Cooperative Acute Stroke Study has provided new data on rtPA (alteplase) treatment in the 3-to-4.5–hour window). 2. Fibrinolytic therapy Thrombolytic medications are delivered to the blood clot through an IV line or a catheter placed in your vein. The thrombolytic therapy drugs in use today are: - Alteplase. - Reteplase. - Tenecteplase. anticoagulants such as warfarin or heparin to reduce the risk of future blood clots are also given. 3. Frontal lobe function tests : Tests for frontal lobe function include working