400
69yo Colombian male brought to the ED with right sided weakness that started 45 mins ago, according to his daughter, he dropped his glass of kool-aid and was subsequently unable to walk. His pmh include HTN, hyperlipidemia, T2DM. Physical examination shows normal 1st and 2nd heart sounds and no carotid bruits. Neurological exam shows dense Right sided hemiplegia. CT head wo contrast was negative for ICH, tpa is administered. 4 hours later, the patients right sided weakness is improved. He has no headache, blurred vision or nausea. BP is 198/110, HR 87 and regular. Her fingerstick accucheck is 145. IV labetalol is started, in this patient, the IV labetalol should be titrated to achieve a BP range of?
What is <185/105 but >140/90
1ST 24h, s/p tpa, no antiplt, no atc, no invasive testing for 24h, strict control with IV HTN med to keep bp <185/105 but >140/90
Ischemic stroke, no tpa, BP <220/120