I had a case similar to this case about six years ago. The lady was 52 y.o. with a history of Asthma, Anxiety, Depression, GERD, High Cholesterol, HTN x 20 yrs. and a Pacer for Tachy-Brady Syndrome. The lady was on Albuterol PRN, Ativan, Lasix, Lipitor, Paxil, Pepcid PRN and Verapamil SR. She went outside and walked down some steps at her house and developed what she called the worst headache of her life. She rated her pain as 10/10. Her vs were as follows BP 210/120, P 120, RR 20, SPO2 95% on Room Air. The patient was given supportive care and transported to the ED. At the ED she was assessed, a Stat CT was ordered and labs were ordered. Prior to going to the CT the patient complained of nausea and was given IV Compazine. She was transported to the CT where a diagnosis of SAH was made. The patient was given IV Ativan and was flown to a larger teaching hospital with a Stroke Team. Upon arrival in the ED she was given SL Procardia and an Art Line was placed and she was transferred to the SICU under the care of Neurosurgery. Over the course of the next 9 days the patient was given Nimtop and monitored until she was discharged on both Lopressor and Nimtop.