Aftab, Raja Ahsan and Hayat Khan, Amer and AbdulRaazaq, Hadeer Akram and Adnan, Azreen Syazril
(2016)
Acute Ischemic Stroke and Acute on Chronic Kidney Disease.
Journal of Nepal Medical Association, 54 (2).
pp. 85-87.
ISSN 0028-2715
Abstract
Ischemic stroke is due to either local thrombus formation or emboli that occlude a cerebral artery,
together with chronic kidney disease represent major mortality and morbidity. Here wer present
a case of 53 years old Malay man, admitted to a hospital in Malaysia complaining of sudden onset
of weakness on right sided upper and lower limb associated with slurred speech. Patient was also
suffering from uncontrolled hypertension, hyperlipidemia, chronic kidney disease stage 4, and
diabetes mellitus(un controlled). He was diagnosed with acute ischemic stroke with cranial nerve
7 palsy (with right hemiparesis), acute on chronic kidney disease precipitated by dehydration and
ACE inhibitor, and hyperkalemia. Patients with ischemic disease and chronic kidney disaese require
constant monitering and carefull selected pharmacotherapy. Patient was placed under observation
and was prescribed multiple pharamacotherpay to stabalise detoriating condition
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