Handling Of Kidney Disease In Stroke Patients?
Good afternoon, ladies and gentlemen, doctor.
Hello Agus, thank you for your question
Stroke is a life threatening disease caused by disruption of the blood supply to the brain. It is not uncommon for patients with stroke to require intensive care in a special room, such as a stroke center or ICU. This intensive care is needed to monitor the general condition and vital signs of the patient during the acute phase.
Treatment of stroke is generally divided into two phases, namely the acute phase and the chronic phase (recovery). Treatment in the acute phase will be differentiated again from the type of stroke that occurs, namely ischemic stroke (blockage of blood vessels) and hemorrhagic stroke (rupture of blood vessels). However, this acute phase of treatment generally aims at:
maintaining patency of the airway and breathing controls circulation and hemodynamics, including blood pressure to restore cerebral blood flow (ischemic stroke) or control bleeding and reduce pressure in the brain (hemorrhagic stroke). During this acute phase, impaired renal function is not uncommon. First, it must be ascertained whether impaired kidney function occurs before or after a stroke. If the kidney dysfunction has been going on for a long time before the stroke (> 3 months)), it is suspected as chronic renal failure. Meanwhile, if the kidney function disorders occur during stroke treatment, it is classified as acute kidney failure. To confirm this, the doctor may recommend serial kidney function tests, as well as an ultrasound examination. Treatment is adjusted to the type of kidney failure that occurs. However, in principle, this is done in conjunction with stroke management.
Discuss this problem with neurologists and internal medicine specialists who treat patients, remembering that these doctors best understand the current patient's health condition so they know the best treatment.
So, hopefully it's useful