
Most of the time there’s nothing much to do for the ischemic stroke patient but here’s some evidence-based strategies that can potentially reduce morbidity/mortality:
- Positioning: Elevation of the head of the bed (HOB) > 30 degrees
- Glucose control: 7.7-10 mmol/L (hyperglycemia associated with increased ICP and progression to hemorrhagic conversion)
- Blood pressure control: 15% reduction MAP over 24 hours if BP exceeds 220/120 (likely best accomplished with nicardipine infusion to avoid overcorrection)
- Adjunctive therapies: Prevent fever and hypercapnia
- Early physio and occupational therapy