ICH

Impression:

Acute Intracerebral Hemorrhage:

- Manifestations: ***
- Location: ***
- Presumed Etiology: ***
- PTA antithrombotics: ***

Plan:

Acute management:

- Admit to stroke unit
- Neuro-checks (q4h)
- Baseline EKG
- Basic labs: CBC,CMP, coagulation panel and troponin
- Cardene drip to target SBP (120-160)
- Acetaminophen 500mg q6h prn headache
- NPO including medications until formal speech evaluation.
- Head of bed > 30 degrees for aspiration precautions

Workup:

-CTH: ***
-CTA: ***
-MRI: ***

Rehabilitation:

-PT, OT, ST evaluation
-Stroke education and counseling
-Consulted case manager for discharge disposition

Other medical issues:

HTN: ***
DM: ***

Prophylaxis: SCDs (DVT), no anti-coagulation for at least 24h given acute intra-cerebral bleed

Patient was staffed with the stroke attending during morning rounds.