Important Blood Pressure Targets in the ED
Subarachnoid ...
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Description

Important Blood Pressure Targets in the ED

Subarachnoid Hemorrhage: 

    SBP < 140 - 160 - If ? raised ICP: MAP > 80

Spontaneous ICH: 

    SBP < 140 - 180 If ? raised ICP: MAP > 80

Acute Ischemic Stroke - TPA Candidate: 

    Before TPA: SBP < 185, DBP < 110:

    For 24 hours after TPA: SBP < 180, DBP < 105

Acute Ischemic Stroke - Not TPA Candidate:

    If SBP >220 or DBP > 120: ↓BP by 15% over 24 hours

Hypertensive Encephalopathy:

    ↓BP by 20% in first hour

Hemorrhagic Shock:

    Can tolerate lower BP (SBP>70-90, MAP>65)

Neurogenic Shock

    MAP > 85

Traumatic Brain Injury

    Age 50-69: SBP > 100

    Age <50, 70+: SBP > 110

    If ?raised ICP: MAP > 80

    If BP very high (>200): Treat pain



Dr. Sarah Foohey @SarahFoohey



#emergency #bloodpressure #targets #goals #management #hypertension #reduction
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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