Indication / Diagnosis BP Goal
Bleeds and tumor resections SBP < 140
Dissections (carotid, vertebral) SBP < 140
Hemorrhagic transformation s/p TNK (or tPA) SBP < 140
Ischemic CVA with no intervention Permissive hypertension up to 220/120, so ≤ 220/120
Perfusion pts, stents-carotid and intracranial, mechanical thrombectomy MAP 70-90, SBP < 160
Post tPA SBP 140-180
(Note: this is for post tPA. To give tPA, must have sbp ≤ 185 and dbp ≤ 110)
Resection, tumor SBP < 140
Spinal cord pts MAP < 85
SAH unsecured MAP < 90, SBP < 140
SAH Secured MAP 90-100, SBP < 160
TNK, tPA To give TNK or tPA, must have sbp ≤ 185 and dbp ≤ 110
for post TNK or tPA, sbp 140-180
Tumor Resections SBP < 140