[2019] 1.5.8 When considering blood pressure lowering in young people aged 16 or 17 with acute intracerebral haemorrhage who do not have any of the exclusions listed in recommendation 1.5.7, seek advice from a paediatric 2022 For a short explanation of why the committee made the 2022 recommendations and how they might affect practice, see the rationale and impact section on blood pressure control for people with acute intracerebral haemorrhage. Full details of the evidence and the committee's discussion are in evidence review E: intensive interventions to lower blood pressure in people with acute intracerebral haemorrhage. Blood pressure control for people with acute ischaemic stroke 1.5.9 Anti-hypertensive treatment in people with acute ischaemic stroke is recommended only if there is a hypertensive emergency with one or more of the following serious concomitant medical issues: hypertensive encephalopathy hypertensive nephropathy hypertensive cardiac failure/myocardial infarction aortic dissection pre-eclampsia/eclampsia. [2008, amended 2019] 1.5.10 Blood pressure reduction to 185/110 mmHg or lower should be considered in people who are candidates for intravenous thrombolysis. 1.6 Nutrition and hydration Assessment of swallowing function 1.6.1 On admission, ensure that people with acute stroke have their swallowing screened by an appropriately trained healthcare professional before being given any oral food, fluid or medication. [2008] 1.6.2 If the admission screen indicates problems with swallowing, ensure that 2022 the person has a specialist assessment of swallowing, preferably within 24 hours of admission and not more than 72 hours afterwards. [2008] 1.6.3 People with suspected aspiration on specialist assessment, or who require tube feeding or dietary modification for 3 days, should be: re-assessed and considered for instrumental examination referred for dietary advice. 