How to control high blood pressure in patients with hypertensive intracerebral hemorrhage???

If it is manifested solely by high blood pressure, dehydration, sedation, and nasogastric feeding antihypertensive drugs can be used. Nitroprusside should not be used long-term. View the original post

Personal opinion: after hypertensive cerebral hemorrhage! Blood pressure is high!

It is not possible to simply lower blood pressure** First of all, it is necessary to distinguish whether the increase in blood pressure is secondary or primary: rebleeding, cerebral edema, the original secondary disease that caused the increase in blood pressure (renal insufficiency, septocytoma, renal vascular stenosis, hypercortisolism...). **：

Treatment of the primary disease can lower blood pressure: sodium nitroprusside (blood pressure is indeed very high) is used first, oral antihypertensive drugs are added at the same time, intravenous drugs are gradually reduced to lower blood pressure, and finally completely oral drugs are used to control it.

I very much agree with the opinion of the 2nd floor, we generally use sodium nitroprusside, and we can use an infusion pump to control the drip rate. After it is stable, it should not be a problem to lower blood pressure with enalapril and lohulocy. View the original post

Agree with the 8th floor's view secondary **: mainly to deal with the primary disease, such as dehydration to lower intracranial pressure, if necessary, surgery, if there is a drainage tube, pay attention to whether the drainage tube is blocked. The primary can lower blood pressure:

Magnesium sulfate can be injected intramuscularly, or sodium nitroprusside can be used first (blood pressure is indeed very high), and oral antihypertensive drugs can be added at the same time, and intravenous antihypertensive drugs can be gradually reduced, and finally completely controlled by oral drugs View the original post

However, does the use of which drugs increase the likelihood of rebleeding due to tube expansion?

This depends on the clinical symptoms. Use your medication rationally under the guidance of your doctor. Pay more attention to rest. Pay more attention to light diet. Don't eat greasy foods. Eat plenty of fresh fruits and vegetables. Use your medication rationally under the guidance of your doctor.

If oral medication cannot control it, intravenous infusion of nitroglycan, if the effect is not good, change to nitroprisside, it is best to use a micropump to control.

Problem analysis: High blood pressure is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases, and stroke, myocardial infarction, heart failure and chronic kidney disease are the main complications. A low-salt diet and a low-fat diet are recommended.

Be sure to abstain from smoking, drinking, and avoiding emotional agitation.

Advice: Under the guidance of local doctors, choose antihypertensive drugs such as: cardiovolt predetermination. It is best to choose extended-release tablets such as boidine or nifedipine extended-release tablets taken orally, and blood pressure is more stable.