Vasopressors in ischemic stroke

I had a recent case where a woman who is chronically uncontrolled hypertensive presented to ED with ‘hypertensive urgency’. Her BP was about 220 systolic. Pt got started on IV antihypertensives gtt and then SBP plummeted to 90s. She then became unresponsive. Moved to ICU. MRI shows bilateral mutiple infarct anterior and posterior circulation. Thought embolic or watershed. SBP now 100s. Getting fluids and has AKI. I am thinking watershed infarcts from hypotension. How aggressive would you... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Neurology Source Type: forums