Early Critical Care Management Routine Care and Monitoring

The routine monitoring of all patients with acute SAH should include serial neurologic examinations, continuous CARDIAC monitoring, and frequent determinations of blood pressure, electrolytes, body weight, fluid balance, and, in many centers, cerebral blood flow velocity by transcranial Doppler (TCD). Adequate hydration should be maintained with isotonic saline to avoid volume contraction. Monitoring of daily fluid balance, body weight, and hematocrit is important to ascertain stable intravascular volume.

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