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Stroke
Stroke
Hemorrhagic or ischemic
Etiology: Atherosclerosis, embolic MI, A.fib, VHD, post-op CEA,
trauma, severe HTN
A LOC, loss of A/W reflux (RSI)
B hypoventilation
C HTN, CAD, VHD, A.fib, arrhythmias ECG, Echo
D anti-PLT, ASA, coumadin, Avoid Sux, N. stimulator resistance
N LOC, neuro deficit
Peri-op
Avoid swinging in BP, and hyperglycemia
With chronic HTN the cerebral autoregulation curve shifted to the Rt