Some quick tips about medically managing patients with acute intracerebral hemorrhage, courtesy of a talk at Stroke 2010 by Craig Anderson, MD, George Institute for International Health in Sydney NSW, Australia:
–avoid excess elevation of variables like blood pressure, glucose levels and body temperature
–maintain hydration; many of these patients present dehydrated
–elevate the head
–abandon intensive insulin therapy
–In terms of lowering blood pressure, going from 220 mm Hg systolic to 140 mm Hg over one hour appears safe, but it’s still unknown whether more rapid lowering is better, or if it would be better to achieve a lower systolic level.
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