Many. patients have a polytrauma, injuries to other parts of the body in addition to the head and brain. Trauma victims often develop hypermetabolism or an increased metabolic rate, causing muscle wasting and the starvation of other tissues.
1 Normal: Less than 120 systolic and less than 80 diastolic. 2  Pre-hypertension: 120-139 systolic or 80-89 diastolic. 3  Hypertension: 140 or higher systolic or 90 or higher diastolic.  Hypertensive Crisis: higher than 180 or higher than 110 diastolic.
Usual Adult Dose for Hypertension. Initial dose: 30 to 60 mg orally 3 to 4 times a day. Maintenance dose: 180 to 360 mg orally/day in divided doses. SR initial dose: 60 to 120 mg orally twice a day. SR maintenance dose: 240 to 360 mg orally/day.