Hydration for Acute Ischemic Stroke in the Emergency Department

Consider the familiar “dry stroke” presentation: an older, hypertensive patient with poor intake, tachycardia, a sticky tongue and an elevated BUN/creatinine ratio. These findings prompt assessment; they do not establish the fluid deficit or the right infusion rate. Reduced circulating volume can lower cardiac output and cerebral perfusion. In ischemic tissue, impaired autoregulation makes blood […]