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Stuttering Lacune Protocol

Page history last edited by PBworks 16 years, 10 months ago

Note: This is far from evidence-based.

Head of bed flat x 24 hrs
NPO while flat
Aggressive IV hydration - if no h/o CHF, bolus 1 liter NS/LR/Plasmalyte, then run 200 cc/hr x 24 hrs
Clopidogrel 600 mg PO/FT x 1
ECASA 325 mg PO/FT x 1
Clopidogrel 75 mg PO/FT qd on days 2 and 3
ECASA 81 mg PO/FT qd on days 2 and 3
Single antiplatelet or Aggrenox from day 4 onwards
Atorvastatin 80 mg PO/FT qd, regardless of LDL
Permissive BP, allow up to SBP 220.
If patient has worsening symptoms after institution of the above, consider adding:
- nifedipine 10 to 30 mg PO/FT TID-QID
- adjust dose / hold / change interval as required if BP is significantly lowered after adding nifedipine

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