PHRM 211 Lecture Notes - Lecture 29: Intracranial Hemorrhage, Antiplatelet Drug, Smoking Cessation
Document Summary
Ischemic stroke and acute intracerebral hemorrhage (part 4) Less processed foods, added or free sugars, saturated/trans fats, cholesterol. More natural/whole foods, fruits/veggies, protein from plants and lean meats. Supervision by physiotherapist if at risk of falls, injury or other complication. Sodium intake < 2 g/day from all sources. Healthy weight (bmi 18. 5-24. 9 kg/m 2 , waist circumference: women < 88 cm, men < 102 cm) Smoking cessation, avoid heavy alcohol intake, stop recreational stimulant drug use. Discontinue estrogen-containing hormonal contraception or hormonal replacement therapy. The single most important risk factor for both ischemic and hemorrhagic stroke. Every 10 mmhg reduction in systolic blood pressure lowers stroke risk by 27%. Target blood pressure after a stroke/tia: < 140/90 mmhg. Do not try to achieve target bp while in hyperacute phase of stroke. Gradually initiate/intensify treatment over next few days while in hospital (optimal timing not yet established) Choice of antihypertensive: acei and thiazide/thiazide-like diuretic combination preferred.
