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Hemorrhagic Stroke

WHAT YOU NEED TO KNOW:

A hemorrhagic stroke happens when a blood vessel in your brain bursts. This may happen if the blood vessel wall is weak, or if a blood clot gets stuck in blood vessel. Blood then flows out of the vessel and damages brain tissue. Blood may collect within your brain or between layers of tissue that protect the brain.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You have any of the following signs of a stroke:
    • Numbness or drooping on one side of your face
    • Weakness in an arm or leg
    • Confusion or difficulty speaking
    • Dizziness, a severe headache, or vision loss
  • You have a seizure.
  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.

Seek care immediately if:

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.
  • You have trouble swallowing.
  • Your blood pressure or blood sugar level is higher or lower than you were told it should be.
  • You have unusual or heavy bleeding.
  • You fall.

Contact your healthcare provider or neurologist if:

  • You have trouble having a bowel movement or urinating.
  • You have questions or concerns about your condition or care.

Medicines:

  • Medicines help improve your blood's ability to clot. You may need medicine to treat high cholesterol, high blood pressure, or diabetes. You may also need medicine to decrease pain or prevent seizures.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Warning signs of a stroke:

The word F.A.S.T. can help you remember and recognize signs of a stroke:

  • F = Face: One side of the face droops.
  • A = Arms: One arm starts to drop when both arms are raised.
  • S = Speech: Speech is slurred or sounds different than usual.
  • T = Time: A person who is having a stroke needs to be seen immediately. A stroke is a medical emergency that needs immediate treatment. Some medicines and treatments work best if given within a few hours of a stroke.

Follow up with your healthcare provider or neurologist as directed:

You may need regular tests of your brain function. Write down your questions so you remember to ask them during your visits.

Go to rehabilitation (rehab) as directed:

Rehab is an important part of treatment. A speech therapist helps you relearn or improve your ability to talk and swallow. Physical therapists can help you gain strength and build endurance. Occupational therapists teach you new ways to do daily activities, such as getting dressed. Therapy can help you improve your ability to walk or keep your balance. You may start slowly and start doing more difficult tasks over time. Your therapy may include tasks or movements you will need to do for everyday activities. An example is being able to raise or lower yourself from a chair.

Prevent another hemorrhagic stroke:

  • Do not smoke cigarettes or use illegal drugs. Nicotine and other chemicals in cigarettes and cigars can cause blood vessel damage. Nicotine and illegal drugs both increase your risk for a stroke. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products. Ask your healthcare provider for information if you need help quitting.
  • Limit or do not drink alcohol. Heavy alcohol use or drinking binges increase your risk for any type of stroke. Limit alcohol to 2 drinks per day if you are a man. Limit alcohol to 1 drink per day if you are a woman. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.
  • Manage health conditions. Take your medicine as directed. Check your blood pressure and blood sugar levels as directed. Keep a record and bring it to your follow-up visits. Control your blood sugar level if you have hyperglycemia or diabetes.

  • Eat a variety of healthy foods. Healthy foods include whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Eat at least 5 servings of fruits and vegetables each day. Choose foods that are low in fat, cholesterol, salt, and sugar. Eat foods that are high in potassium, such as potatoes and bananas.
  • Maintain a healthy weight. Ask your healthcare provider how much you should weigh. Ask him to help you create a weight loss plan if you are overweight. Ask about the best exercise plan for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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