From: 39th International Symposium on Intensive Care and Emergency Medicine
Day / time | Blood Pressure | Anti-hypertensives | Neurological Progression | Significant Imaging Results |
---|---|---|---|---|
Day 1 08:00 | 195/145 | Amlodipine | GCS 15 | Â |
Day 1 12:00 | 250/121 | GTN and labetalol infusion | GCS 14: E4 V4 M6, dysarthria, lingual swelling | Â |
Day 1 19:00 | 168/98 | GTN and labetalol infusion | GCS 15: E4 V5 M6, left sided hemiparesis | CT: possible distal right MCA thrombus |
Day 2 13:00 | 157/71 | GTN and labetalol infusion | GCS 15: E4 V5 M6 | Â |
Day 3 23:00 | 166/81 | Labetalol infusion, bisoprolol, ramipril | GCS 12: E2 V2 M5, right upper limb weakness | MRI: basilar artery occlusion, midbrain ischaemia |
Day 4 9:00 | 172 /74 | Bisoprolol, ramipril, doxazosin | GCS 8-9: E3 M3-4 V2, unresponsive episodes | CT: basilar artery occlusion, midbrain ischaemia |
Day 8 09:00 | 164/75 | Bisoprolol, ramipril, doxazosin | GCS 10: E3 V1 M6, right lower limb weakness | Â |