unresponsive "fall"

CWATT

Forum Lieutenant
182
50
28
Does anyone know of a reason to contraindicate vasopressors in a stroke pt?
 
OP
OP
VentMonkey

VentMonkey

Family Guy
5,729
5,043
113
Does anyone know of a reason to contraindicate vasopressors in a stroke pt?
TMK, and if IIRC most bleeds are treated as surgical (epidural/ subdural) vs. non-surgical (SAH/ ICH). More often the latter is a "wait and see" approach with an appropriate, and closely monitored guideline with regards to their SBP.

It's more of a "do we need to operate now, or are we going to let the brain heal on its own?" There's no real reason in my mind, or opinion that vasoactive medications should be utilized. Sometimes less is more. This seems to be one of those times, and rightfully so.

#NotANeurologist.

Edit: @CWATT here's a pretty standard/ straightforward treatment algorithm and article for the acute (atrauamtic) ICH:

http://svn.bmj.com/content/early/2017/01/24/svn-2016-000047
 
Last edited:
Top