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Manejo Inicial del Paciente con Enfermedad Vascular Cerebral

Manejo Inicial del Paciente con Enfermedad Vascular Cerebral

Manejo Inicial del Paciente con Enfermedad Vascular Cerebral

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<strong>Manejo</strong> <strong>Inicial</strong> de la EVC<br />

Glucosa<br />

• Hipoglicemia<br />

– Puede causar signos neurológicos focales<br />

– Si es severa causa daño irreversible<br />

• Hiperglicemia >400 mg/dl peor pronóstico<br />

– Acidosis tisular<br />

– Mayor permeabilidad barrera<br />

hematoencefálica<br />

Adams HP, et al. Stroke, 2003;34:1056-83

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