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A 62-year-old woman presents to the emergency department after developing a severe headache and neck stiffness. The pain was of sudden onset and feels more severe than her normal headaches. Her temperature is 97.7°F (36.5°C), blood pressure is 155/89 mmHg, pulse is 92/min, respirations are 17/min, and oxygen saturation is 98% on room air. A CT scan of her head is obtained and shown in Figure A and an ECG is performed as seen in Figure B. The patient is appropriately treated and transferred to the ICU. Which of the following is most likely to develop in this patient during their stay in the ICU?
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A 77-year-old man with a history of hypertension and a 46 pack-year smoking history presents to the emergency department from an extended care facility with acute onset of headache, nausea, vomiting, and neck pain which started 6 hours ago and has persisted since. He is alert, but his baseline level of consciousness is slightly diminished per the nursing home staff. His temperature is 99.0°F (37.2°C), blood pressure is 164/94 mmHg, pulse is 90/min, respirations are 16/min, and oxygen saturation is 98% on room air. The patient's neurological exam is unremarkable with cranial nerves II-XII grossly intact and with stable gait with a walker. He is immediately sent for a head CT which is normal. What is the most appropriate next step in management?
Ibuprofen, acetaminophen, metoclopramide, and diphenhydramine