You donít know what to do about the blood pressure, but fortunately, there is an on call consultant available to ask...
It is now 16 hours after endovascular thrombectomy and thrombolysis. Guidelines vary at different hospitals, but given his systolic blood pressure is less than 200mmHg, you decide to watch and wait.
This graph shows the U shaped relationship between BP and outcome:
Hypotension likely reflects heart failure, sepsis, or other co-existant pathology.
Fortunately Mr Tanner's blood pressure improves to 150/90 over the next 24 hours, and you commence an ACE-inhibitor at day 5.
Please select an additional medical issue below or continue the case.