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. 2017 Feb 24;2(1):30–39. doi: 10.1136/svn-2016-000041

Table 4.

Clinical stroke extended management pathway (routinely followed protocols across Pakistan)

Clinical stroke extended management pathway
27. Please carry out the following orders as appropriate Yes No Date and time
28. Extracranial imaging: carotid Doppler, CTA, MRA) in 2–7 days
29. ECG in 2–7 days (trans thoracic echocardiography (TTE)/trans esophageal echocardiography (TEE) as indicated)
30. DVT prophylaxis
31. Stroke educational material for patient and family
32. Removal of Foley's catheter and start bladder management (if stable and feasible)
33. Discharged on:
  • Antithrombotic therapy OR Anticoagulation therapy for atrial fibrillation/flutter

  • Antihypertensives (as indicated)

  • Statins/cholesterol lower agent (as indicated)

  • Antidiabetic agent (if indicated)

34. Fasting lipid profile, HbA1c
35. Holter monitor (if indicated
36. Specialised workup for young stroke (like anti nuclear antibody (ANA), extractable Nuclear Antigen (eNA), etc)
37. Referral to:
  • Rehabilitation specialist

  • Speech therapist

  • Dietician

  • Medical team (if otherwise indicated or required)

38. Follow-up

CTA, CT angiography; HbA1c, glycated haemoglobin; MRA, MR angiography.