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학습 자료 둘러보기 →The highest priority for a client on anticoagulation post-ischemic stroke is monitoring for hemorrhagic transformation. A sudden severe headache with vomiting signals a rapid increase in intracranial pressure (ICP), which is a life-threatening emergency requiring immediate intervention to protect the airway and prevent herniation.
In the acute phase, permissive hypertension (allowing SBP up to 220 mmHg) is often protocolized to maintain cerebral perfusion. A BP of 160/90 mmHg is typically not treated urgently unless thrombolytics were administered.
Do not confuse expected post-stroke symptoms with acute deterioration. While dysphagia and mild confusion require management, a thunderclap headache with vomiting demands immediate cessation of anticoagulation and emergency CT imaging.
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