ACS Stroke Sepsis

Cincinnati Stroke Program

Management of Elevated ICP in ICH

1. Elevate head of bed to 30 degrees
2. Analgesia & Sedation
3. CSF Drainage via Ventricular Catheter
4. Osmotic Diuretics (Hypertonic Saline, Mannitol)
5. Neuromuscular Blockade
6. Hyperventilation
7. Barbiturate Coma

References

Broderick J et al. Guidelines for Management of Spontaneous Intracerebral Hemorrhage. Stroke 2007, p. 2008-9.

Select ABCD2 Score Anticoagulation BP Management (Ischemia) BP Management (Hemorrhage) Brain Death Exam Cincy Prehospital Stroke Cranial Nerves DVT Management Elevated INR Management Fischer Scale (SAH) Glasgow Coma Score Glasgow Outcomes Scale Heparin-Induced ICH Hounsfield Units Hypercoagulation Labs Hunt Hess (SAH) ICH Rates ICH Score ICH Volume ICP Management Imaging In Stroke Ischemic Outcomes Key History Elements Labs/Studies to Order LA Prehospital Stroke Mean Arterial Pressure Modified Rankin Score NIH Stroke Scale Physiologic Management Phenytoin Correction Resources Stroke Mimics Stroke Syndromes Temperature Conversion tPA Dosing Calculator tPA-Induced ICH tPA Criteria Weight Conversion WFNS (SAH)

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