emDocs - December 15, 2021 - By Philip Jarrett and Avi Ruderman
Reviewed by: Anthony DeVivo; Alex Koyfman; Brit Long
"Takeaway points
- Maintaining cerebral perfusion pressure is the priority in subarachnoid hemorrhage.
- In conscious patients, target a systolic blood pressure of 140 – 160 mm Hg and administer nimodipine.
- In unconscious patients, support CPP with vasopressors in consultation with neurosurgery.
- To treat elevated ICP, use hypertonic saline. The dose is 3.2 mL/kg of 5% hypertonic saline"