Confirm dissection with CT of Chest/Abdomen, If unable to confirm dissection via CT do not follow this protocol
- Target systolic BP of < 120
- If systolic BP greater than 120, initiate Cardene 5mg/hr (50 ml/hr) may increase q 15 min by 2.5 mg/hr. No more than 15 mg/hr
If noted tachycardia or HR > 100 may administer 5mg of IV Lopressor, may repeat every 5 minutes; hold if systolic blood pressure is <90 or a heart rate <60 bpm
If systolic BP is < 90, Only Initiate Vasopressors if evidence of altered mental status or imminent cardiac arrest
May use Fentanyl 1-2 mcg/kg IV every 10 minutes as needed for pain management. Hold if systolic BP <90.