Table 12.4-4. Treatment of hypertension in patients with recent intracerebral hemorrhage (examples; other medications could be used [also see table 12.4-2, see table 12.4-3])



Systolic BP at presentation >140-150 mm Hg, normal ICP normal; maintain BP ≤140/80 mm Hg

IV nicardipine 5 mg/h, titrate up by 2.5 mg/h every 5-15 min (max rate, 15 mg/h); IV labetalol, enalapril, or nitroprusside could be used

If ICP is elevated, maintain cerebral perfusion pressure

ICU admission with ICP monitoring

BP, blood pressure; ICP, intracranial pressure; ICU, intensive care unit.