Hemorrhagic stroke secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Effective measures for the secondary prevention of hemorrhagic stroke include lifestyle modifications, controlling the modifiable risk factors, and treatment of specific cause of hemorrhagic stroke.

Secondary Prevention

Life style modification

Life style modification measures which may help reduce the risk of recurrent hemorrhagic stroke may include:

• Eating healthy balanced diet
• Smoking cessation
• Decreased alcohal intake

Treatment of modifiable risk factors

• Treatment and maintainence of hypertension and diabetes mellitus
• Proper management and follow up of genetic conditions

Secondary prevention of complications

The preventive measures which may help prevent complications of hemorrhagic stroke include:

• Use of intermittent pneumatic compression begun as early as the day of hospital admission 
• Prophylactic anticonvulsant medication has not been demonstrated to be beneficia. However, in a case of clinical seizures or electrographic seizures in patients with a change in mental status should be treated with antisezure drugs to prevent recurrence
• Proper positioning of patient, and the use of thick feed with the help of nasogastric tube for feeding to prevent aspiration pneumonia in patients with cranial nerve palsies affecting pharyngeal motility and gag reflex
• Pressure ulcers may be prevented by use of air mattress and regular change in position of patient

References

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