Answer: C - The use of antifibrinolytics in the treatment of acute subarachnoid hemorrhage is not recommended due to possible complications of cerebral ischemia.
Rebleeding is most common in the first 24 hours and antihypertensive therapies, such as IV beta-blockers, pain medication, and antiemetics, are recommended to control blood pressure to less than 130. The administration of nimodipine is recommended within the first 96 hours of symptom onset to prevent the vasospasm commonly seen two days to three weeks after SAH. Glasgow coma scale and pupil response should be checked regularly in the acute setting of SAH because their deterioration may indicate complications.
