*When left or dominant hemisphere is affected:
_Right hemiparesis with the right hemiparesis loss
_Preference of left gaze
*When right or nondominant hemisphere is affected:
_Left hemiparesis with the left hemiparesis loss
_Preference of right gaze
*Assess airways, breathing and circulation.
*Undertaking initial tests including critical imaging and laboratory tests.
*Identification of reperfusion therapy
*Fibrinolytics and antiplatelets (useful if administered at least 3hrs after the symptoms)
**Reteplase at the following dose: 10U bolus dose followed by a second 10U bolus dose 30 minutes later [double bolus]. Each bolus is administered as a slow intravenous injection within 2 minutes. Heparin and acetylsalicylic acid should be administered before and following its administration to reduce the risk of rethrombosis.
*Antiplatelets such as aspirin or clopidogrel
*Regular controlled exercises
*Cessation of smoking, controlled alcoholic intake and other lifestyle interventions.