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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.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

An IV

is a small tube placed in your vein that is used to give you medicine or liquids.

Monitoring:

  • A neuro exam may show how well your brain works after a stroke. Healthcare providers will check how your pupils react to light. They may check your memory and how easily you wake up. Your hand grasp and balance may also be tested.
  • An ICP monitor measures the pressure inside your skull. A small tube is put through your skull and connected to a screen. The monitor may also measure the blood flow to your brain.

Tests:

You may need any of the following:

  • Blood tests may be done to check your blood cell levels, electrolyte levels, and how well your blood clots.
  • CT or MRI pictures may show where the stroke happened and any damage to your brain. You may be given contrast liquid to help your skull and brain show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.
  • An angiography is used to take pictures of the arteries in your brain.
  • A swallow study is used to take x-rays as you swallow certain foods and drinks. This test shows if the stroke has caused problems with how you swallow.

Treatment:

Depends on the severity of the stroke

  • Medicines may be given to help stop the bleeding and lower your blood pressure. You may also need medicine to decrease pain, reduce brain pressure, or prevent seizures. Medicine may be given to lower your blood sugar level.
  • Compression boots or stockings will be placed on your legs to prevent blood clots.
  • A ventilator is a machine that gives you oxygen and breathes for you when you cannot breathe well on your own. An endotracheal (ET) tube is put into your mouth or nose and attached to the ventilator. You may need a trach if an ET tube cannot be placed. A trach is a tube put through an incision and into your windpipe.
  • A feeding tube may be needed if you cannot swallow food or liquids.
  • Therapy can help you recover speech and movement abilities. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. An occupational therapist teaches you skills to help with your daily activities. A speech therapist helps you with speaking and safe swallowing skills. You will continue rehabilitation therapy after you leave the hospital.
  • Surgery may be needed to stop the bleeding or remove blood that has leaked out of the blood vessels. A tube may be placed in your skull. The tube drains extra fluid and checks the pressure in your brain.

RISKS:

Even with treatment, you may have lasting problems talking, thinking, or moving your body.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2017 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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