📋 IV Antihypertensive Protocol (AHA)

Labetalol: 10-20mg IV push, repeat x1, then infusion 2-8 mg/min
Nicardipine: Start 5 mg/h, ↑ 2.5 mg/h q5-15min, max 15 mg/h
Clevidipine: Start 1-2 mg/h, double q2-5min, max 21 mg/h

🚫 NEVER use rapid-acting nifedipine — precipitous drops worsen stroke

Goal: controlled reduction, not a crash. Titrate, don't slam.