#icushort

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The ICU Channel by ESBICM

2 ай бұрын

Why NTG should not be used in lowering BP in ICH/CVA
Intracranial haemorrhage
‪@TheICUChannel‬

Пікірлер: 28

@naksh6473 2 ай бұрын

In IVH.......Isosorbide dinitrate was used along with Labetalol infusion at my practice.

@ankuraryan8951 2 ай бұрын

Good

@TheICUChannel 2 ай бұрын

Thanks

@merajanwar3039 Ай бұрын

Right

@haroonraj8117 2 ай бұрын

Nice

@TheICUChannel 2 ай бұрын

Thanks

@caroverine2063 8 күн бұрын

Celvidipine drug of choice in IC bleed.

@user-vh4gi5pi4f 2 ай бұрын

Sir explain about inj mgso4 in icu

@salmanahmed4420 2 ай бұрын

Except in SAH - can be used in lobar/parenchymal haemorrhage- also GTN/Labetalol first choice in AHA /European Stroke guidelines.

@TheICUChannel 2 ай бұрын

It’s for all conditions which has the potential to raise ICPs. Please have a look again for GTN.

@merajanwar3039 Ай бұрын

Don't give gtn

@PrachiShandilya7 Ай бұрын

Sir , Lasix ?? , is it can be use in CVA ??

@mohammedshahid9899 Ай бұрын

Can we use clonidine in this patient??

@rajmishra2621 2 ай бұрын

Do we get IV nicardipine in India?

@vishnujagtap7952 2 ай бұрын

CCB also vasodilator then why CCB in ich ?

@tanvirnabil8204 2 ай бұрын

As far as i know it is relatively contraindicated not absolute contraindicated

@TheICUChannel 2 ай бұрын

yes, should be AVOIDED

@ishangadekar798 2 ай бұрын

Sir which antihtn 'infusion' should be used instead of labetalol if heart rate is less than 60 ?

@TheICUChannel 2 ай бұрын

Hydralazine helps .

@ishangadekar798 2 ай бұрын

@@TheICUChannelSo sir we can give 10-20 mg IV stat and then 1-10 mg/hr for maintenance according to bp with infusion dilution of 1mg/ml ? Also do I shift to 10 mg par oral 6 hrly after 24 hrs or shifting to oral nifedipine still preferred ?!

@TheICUChannel 2 ай бұрын

@@ishangadekar798 which medication you are asking? all doses are available in books and on net (authentic source). kindly refer.

@ishangadekar798 2 ай бұрын

Sir I was asking about hydralazine IV bolus and infusion dose.

@Capsule54890 2 ай бұрын

can it be used in resistant cases ?

@TheICUChannel 2 ай бұрын

Yup , but should be avoided as far as possible

@Capsule54890 2 ай бұрын

Sir what about during decompressive craniectomy, intraop can it be used ?

@khankhan-cw2bq 2 ай бұрын

What about hydralazine?

@TheICUChannel 2 ай бұрын

yes can be given.

@khankhan-cw2bq 2 ай бұрын

But hydralazine cause vasodilatation and thus increase the intracranial pressure thats why they avoid it sir