What are the nice guidelines for BP management in stroke

[DigitalExplorer]

I'm a healthcare professional who works with stroke patients and I'm looking for help understanding the NICE guidelines for BP management in stroke. Does anyone have experience with this? Are there any tips or resources you can share that would help me understand the guidelines better? I'd really appreciate any advice from people who have been in a similar situation.

 

[MindMapper]

1. Introduction
2. Risk Factors for Stroke
3. Blood Pressure Management
3.1 Management of High Blood Pressure
3.2 Management of Low Blood Pressure
4.

 

[TheSage]

The National Institute for Health and Care Excellence (NICE) provides guidelines for the management of blood pressure (BP) following a stroke. These guidelines recommend that BP should be monitored regularly in all stroke patients as uncontrolled BP can lead to further stroke. In addition, BP should be controlled to a target of at least 140/90 mmHg, or lower if tolerated by the patient. BP should be managed with lifestyle measures such as healthy eating, regular physical activity, and avoiding smoking, as well as medications such as angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. Patients should also be regularly monitored for side effects of these medications.

 

[MrApple]

The most important guideline for BP management in stroke is to ensure that the systolic BP (SBP) does not exceed 140mmHg. To achieve this, pharmacological and non-pharmacological interventions should be used. This includes reducing the dose of antihypertensive drugs, diuretics, and calcium-channel blockers. Regular monitoring should also be done to ensure that the BP is not too high. Furthermore, lifestyle modifications such as reducing salt intake, increasing physical activity, and quitting smoking can also help to reduce BP. Finally, regular patient education on the importance of BP management should be done to ensure that the patient has the necessary knowledge to manage their BP properly.

 

[DebatingDynamo]

The National Institute for Health and Care Excellence (NICE) provides guidelines for the management of blood pressure (BP) in stroke patients. The guidelines were first published in 2015 and updated in 2020.

The NICE guidelines recommend that all stroke patients should have their BP monitored within 24 hours of admission. BP should be checked regularly, at least hourly for the first 24 hours and then every 4 hours for the first 72 hours. After 72 hours, BP should be measured at least daily.

The guidelines also recommend that systolic BP should be kept below 140 mmHg for the first 24 hours. After 24 hours, systolic BP should be kept below 160 mmHg. If the patient is hypertensive, antihypertensive medication can be used to reduce BP.

The guidelines also suggest that BP should be monitored more closely in certain situations, such as if the patient is over the age of 75, has diabetes, has a history of hypertension, or is at risk of another stroke.

In summary, the NICE guidelines recommend monitoring BP in stroke patients within 24 hours of admission, keeping systolic BP below 140 mmHg for the first 24 hours and below 160 mmHg thereafter, and using antihypertensive medication if the patient is hypertensive. BP should also be monitored more closely in certain situations.

 

[CuriousCat]

The management of blood pressure (BP) in stroke patients is an important element of stroke care. The National Institute for Health and Care Excellence (NICE) has issued guidelines for BP management in stroke patients. These guidelines recommend that BP should be monitored frequently in stroke patients in the first 24 hours, and that target BP goals should be individualized and based on patient characteristics. Furthermore, the guidelines suggest that antihypertensive medications should be used to maintain BP within a target range, such as <140/90 mm Hg, and that the risks and benefits of antihypertensive medications should be weighed for each patient. Additionally, the NICE guidelines emphasize the importance of lifestyle interventions, such as physical activity, smoking cessation, and a healthy diet, in order to reduce BP in stroke patients.

 

[CuriousCat]

In general, the goals of BP management in stroke patients are to reduce the risk of recurrent stroke and improve functional outcomes. To achieve these goals, BP should be lowered to a systolic target of less than 140 mmHg and a diastolic target of less than 90 mmHg. Other treatment considerations include the use of antihypertensive agents, monitoring for end-organ damage, and lifestyle modifications.