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  • Emergency Hypertension

    Enviado por

    Okce Mariya Okcemariya
    12 visualizações11 páginas
    This document discusses emergency hypertension in the context of cerebrovascular accidents (strokes). It notes that strokes can be either hemorrhagic (caused by bleeding in the brain) or non-hemorrhagic (caused by blockage of blood flow to the brain). For patients experiencing an intracerebral hemorrhage, acute lowering of blood pressure to 140 mmHg is considered safe if their systolic BP is between 150-220 mmHg upon presentation. For patients with a systolic BP over 220 mmHg, more aggressive reduction of BP may be reasonable. The principles of lowering BP for acute stroke involve intravenous titration of medications like nicardipine, diltiazem or sodium nitropr

    Descrição original:

    emergency hypertension with cerebrovascular accident

    Título original

    3. Emergency Hypertension

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    This document discusses emergency hypertension in the context of cerebrovascular accidents (strokes). It notes that strokes can be either hemorrhagic (caused by bleeding in the brain) or non-hemorrhagic (caused by blockage of blood flow to the brain). For patients experiencing an intracerebral hemorrhage, acute lowering of blood pressure to 140 mmHg is considered safe if their systolic BP is between 150-220 mmHg upon presentation. For patients with a systolic BP over 220 mmHg, more aggressive reduction of BP may be reasonable. The principles of lowering BP for acute stroke involve intravenous titration of medications like nicardipine, diltiazem or sodium nitropr

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    © All Rights Reserved
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    12 visualizações11 páginas

    Emergency Hypertension

    Enviado por

    Okce Mariya Okcemariya
    This document discusses emergency hypertension in the context of cerebrovascular accidents (strokes). It notes that strokes can be either hemorrhagic (caused by bleeding in the brain) or non-hemorrhagic (caused by blockage of blood flow to the brain). For patients experiencing an intracerebral hemorrhage, acute lowering of blood pressure to 140 mmHg is considered safe if their systolic BP is between 150-220 mmHg upon presentation. For patients with a systolic BP over 220 mmHg, more aggressive reduction of BP may be reasonable. The principles of lowering BP for acute stroke involve intravenous titration of medications like nicardipine, diltiazem or sodium nitropr

    Direitos autorais:

    © All Rights Reserved
    Baixe no formato PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 11

    Emergency Hypertension with

    Cerebrovascular Accident

    Chandramin
    Cerebrovascular Accident ( Stroke)

    Cerebral Hemorrhage (Intra-cerebral


    Hemorrhage)/Hemorrhagic Stroke

    Cerebral Infarction/Non-Hemorrhagic Stroke


    Cerebrovascular Accident ( Stroke)

    Cerebral Hemorrhage (Intra-cerebral


    Hemorrhage)/Hemorrhagic Stroke

    Cerebral Infarction/Non-Hemorrhagic Stroke


    CEREBRAL INFARCTION (24%) CEREBRAL HEMORRHAGE (4.5%)

    HYPERTENSIVE EMERGENCIES (24%)

    HYPERTENSIVE CRISIS

    HYPERTENSIVE URGENCIES (76%)


    PRINSIP PENURUNAN TEKANAN DARAH PADA
    STROKE AKUT
    PRINSIP PENURUNAN TEKANAN
    DARAH PADA STROKE AKUT
    Titrasi IV

    Alat: automatic BP monitor, syringe pump

    Titrasi mulai dosis kecil, ditingkatkan bertahap


    tiap 5-15 menit
    INTRACEREBRAL HEMORRHAGE
    For ICH patients presenting with systolic BP
    between 150-220 mmHg and without contra
    indication for acute BP treatment, acute lowering
    of systolic BP to 140 mmHg is safe (Class 1; level
    of evidence A) and can be effective for improving
    functional outcome(Class IIa; level of evidence B).
    For ICH patients presenting with systolic BP >220
    mmHg, it may be reasonable to consider agresive
    reduction of BP with a continuous intravenous
    infusion and frequent BP monitoring (Class 2B;
    level of evidence C).
    ACUTE BP TREATMENT FOR INTRACEREBRAL HEMORRHAGE

    SBP >220 mmHg SBP :150-220 mmHg

    Class 1; level of evidance A

    SBP : <135 mmHg


    Class 2B; level of evidence C
    ACUTE BP TREATMENT FOR ISCHEMIC STROKE

    BP >185/110 mmHg BP >220/120 mmHg

    Thrombolysis Non Thrombolysis

    SBP 140-150 mmHg 15% REDUCTION OF BP


    Obat Anti Hipertensi

    Titrasi IV
    Nicardipine
    Diltiazem
    Sodium Nitropruside
    TERIMA KASIH

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