Plan :
Iv hydralazine 20mg in 10mls dilution with aqua/ NS slowly over 15mins
When systolic is lower than 200 but diastolic is greater than 110mmhg
Then switch to regular antihypertensives
For stroke
Different if its ischemic or hemorrhagic stroke
For the common one (ischemic)
Elevate the bed 30• head up
Iv mannitol 20% over 1hr
Iv frusemide 20mg after mannitol
Regulate bp as stated above
Check sugar if high controll
Temp control: If not PUD PT I.M DICLOFENAC 75MG STAT then pcm 600mg 8hrly. but if with PUD stick to PCM 900MG STAT then 600mg O.D/8HRLY
If consious
Commence
Tab clopidogrel 150mg daily x
Tabs atovarstatin 40mg noct x
Tab neurovite forte 1 daily x
If a diabetic commence :
Tab metformin 1g bd
Tab glimepiride
Treat for sepsis always as its a common precipitatant
BUT when systolic is greater than 200 and diastolic is greater than 120mmhg use HYDRALAZINE 20mg in 10mls aqua and SUBLINGUAL NIFEDIPINE and 750mg stat of Aldomet.