what is the target BP in strokes - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-06-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default what is the target BP in strokes

what is the target BP in

patients with ischemic stroke
patients with hemorrhagic stroke
patients with SAH


that is, when do we start AHTN in these situations?

for ischemic stroke, i know AHTN are started when BP is really high like 230/130 mm Hg...

what about others ?
Reply With Quote Quick reply to this message



  #2  
Old 06-06-2012
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 246
Threads: 18
Thanked 142 Times in 86 Posts
Reputation: 152
Default

i think that's too much to step 2, but i didnt find smth relevant for Hemorrhagic stoke or SAH, except nimodipine for SAH to prevent vasospasm
Reply With Quote Quick reply to this message
  #3  
Old 06-06-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,107 Times in 1,049 Posts
Reputation: 2127
Default

Quote:
Originally Posted by tyagee View Post
what is the target BP in

patients with ischemic stroke
patients with hemorrhagic stroke
patients with SAH


that is, when do we start AHTN in these situations?

for ischemic stroke, i know AHTN are started when BP is really high like 230/130 mm Hg...

what about others ?
That depends on the individual BP of the patient.
As a general rule you don't want to lower the BP in ischemic stroke too much as compared to hemorrhagic stroke
Reply With Quote Quick reply to this message
 
  #4  
Old 06-07-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 137
Threads: 2
Thanked 65 Times in 40 Posts
Reputation: 75
Default

Quote:
Originally Posted by tyagee View Post
what is the target BP in

patients with ischemic stroke
patients with hemorrhagic stroke
patients with SAH

that is, when do we start AHTN in these situations?

for ischemic stroke, i know AHTN are started when BP is really high like 230/130 mm Hg...

what about others ?
the consensus recommendation is to lower blood pressure only if systolic pressure is in excess of 220 mm Hg or if diastolic pressure is greater than 120 mm Hg.[17] However, a systolic blood pressure greater than 185 mm Hg or a diastolic pressure greater than 110 mm Hg is a contraindication to the use of thrombolytics. Therefore, the management of elevated blood pressure in acute ischemic stroke may vary, depending on whether the patient is a candidate for thrombolytic therapy
-theris very useful information in medscape :acute mengement of stroke
Reply With Quote Quick reply to this message
The above post was thanked by:
tyagee (06-07-2012)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Target cells haga USMLE Step 1 Forum 5 10-24-2012 05:58 PM
Internal capsule versus cortical strokes! indigo USMLE Step 1 Forum 2 01-08-2012 10:40 AM
224 in NBME; Target is 240 oti nogonno USMLE Step 1 Forum 0 11-14-2011 09:39 AM
What is the target INR? Hohepa USMLE Step 2 CK Forum 3 07-09-2010 02:06 AM
Target of autoantibodies? FreakingOut USMLE Step 1 Forum 3 04-29-2010 03:04 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)