Which of the following statements referring to a patient in the acute phase of brain hemorrhagic stroke is correct?
1) supratentorial intracerebral hematoma should be treated with surgery in each case;
2) systolic blood pressure should be quickly reduced to less than 180 mm Hg in each patient with intracerebral hemorrhage, optimally during the first day;
3) posterior fossa hemorrhages need urgent neurosurgery in the case of the deterioration of the neurological condition, such as worsening cerebellar symptoms, hydrocephalus, or awareness disorders;
4) antiepileptic drug should be administered prophylactically in each patient with intracerebral hemorrhage (optimally valproic acid 500-800 mg twice daily) for fear of high risk of epileptic seizures;
5) in the treatment of cerebral oedema secondary to intracerebral hemorrhage intravenous osmotic agents are most commonly used, e.g. mannitol with furosemide or hypertonic salt (usually 3% NaCl).
The correct answer is:
Dział: Interna
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