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 appropriateYesNoDate 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.