Intravenous antihypertensives

We have fixed our RR goals and management in our so-called Weissbuch – an internal manual for stroke management. These are our pressure thresholds:

  • 100: Hyperperfusion syndrome
  • 140: ICH, after revascularization
  • 160: during thrombolysis
  • 185: before thrombolysis
  • 180-220 for strokes in general

Here are the drugs we use regularly

  • Urapidil
  • Metoprolol/Esmolol
  • Clonidine
  • Enalaprilate
  • Dihydralazin

We rarely use Nitro or Nitroprusside, so we didn’t talk about that. We aso don’t have Labetalole, Fenoldopam, Nicardipin, because they haven’t been approved in Germany.



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