Aidan: /* Management */

2021-12-01T13:43:17Z

Management

← Older revision		Revision as of 13:43, 1 December 2021
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	* SBP <140-160 initially		* SBP <140-160 initially
	* For increased ICP: mannitol, hypertonic saline, raise head of bed, ensure normothermia and normoglycemia		* For increased ICP: [[mannitol]], [[hypertonic saline]], raise head of bed, ensure normothermia and normoglycemia
	* Consult Neurosurgery		* Consult Neurosurgery
	* For seizures, may not need to manage if first one is ~~selflimiting~~		* For seizures, may not need to manage if first one is self-limited
	* Reverse anticoagulations		* Reverse anticoagulations
	** Warfarin: vitamin K, PCC		** [[Warfarin]]: [[vitamin K]], [[PCC]]
	** Rivaroxaban and apixaban: andexanet alfa		** [[Rivaroxaban]] and [[apixaban]]: [[andexanet alfa]]
	** LMWH/UFH: [[protamine]]		** [[LMWH]]/[[UFH]]: [[protamine]]
	** [[Dabigatran]]: idarucizumab		** [[Dabigatran]]: [[idarucizumab]]
	* Intermittent pneumatic compression stockings for VTE prophylaxis		* Intermittent pneumatic compression stockings for VTE prophylaxis
	* Repeat imaging in __ hours		* Repeat imaging in 24 hours

	== Prevention ==		== Prevention ==
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	* For [[cerebral amyloid angiopathy]], diagnose with the modified Boston criteria and refer to Neurology		* For [[cerebral amyloid angiopathy]], diagnose with the modified Boston criteria and refer to Neurology
	** Treating [[hypertension]] still helpful		** Treating [[hypertension]] still helpful
	* No need for statin unless otherwise indicated		* No need for [[statin]] unless otherwise indicated

	[[Category:Neurology]]		[[Category:Neurology]]

Aidan: Created page with "== Management == * SBP <140-160 initially * For increased ICP: mannitol, hypertonic saline, raise head of bed, ensure normothermia and normoglycemia * Consult Neurosurgery *..."

2021-10-01T12:42:56Z

Created page with "== Management == * SBP <140-160 initially * For increased ICP: mannitol, hypertonic saline, raise head of bed, ensure normothermia and normoglycemia * Consult Neurosurgery *..."

New page

== Management ==

* SBP <140-160 initially
* For increased ICP: mannitol, hypertonic saline, raise head of bed, ensure normothermia and normoglycemia
* Consult Neurosurgery
* For seizures, may not need to manage if first one is selflimiting
* Reverse anticoagulations
** Warfarin: vitamin K, PCC
** Rivaroxaban and apixaban: andexanet alfa
** LMWH/UFH: [[protamine]]
** [[Dabigatran]]: idarucizumab
* Intermittent pneumatic compression stockings for VTE prophylaxis
* Repeat imaging in __ hours

== Prevention ==

* Manage risk factors, especially [[hypertension]] (target BP <130/80 based on SPS3 trial)
* Lower alcohol intake, [[smoking cessation]]
* Improve diet, increase physical activity, lower sodium intake
* For [[cerebral amyloid angiopathy]], diagnose with the modified Boston criteria and refer to Neurology
** Treating [[hypertension]] still helpful
* No need for statin unless otherwise indicated

[[Category:Neurology]]

Intracranial hemorrhage - Revision history

Aidan: /* Management */

Aidan: Created page with "== Management == * SBP <140-160 initially * For increased ICP: mannitol, hypertonic saline, raise head of bed, ensure normothermia and normoglycemia * Consult Neurosurgery *..."