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- A patient's blood pressure should be maintained at less than 185/110 prior to receiving thrombolytics for stroke.
- The following medications should be used to address blood pressure control in these patients:
Labetalol 10 to 20 mg IV over 1 to 2 minutes, may repeat x 1
OR
Nitropaste 1 to 2 inches
OR
Nicardipine infusion at 5 mg per hour, titrate by 0.25 mg/hr at 5 to 10 minute intervals up to a maximum
dose of of 15 mg/hr. Once desired blood pressure is achieved, titrate down in increments of 3 mg/hr.