Hypertension
(Last Updated - 7/3/2007)
-Hypertensive Crisis:
-any of the below situations with high BP's requiring a rapid decrease in BP to limit end-organ damage
1) Unstable Angina
2) Acute MI
3) Encephalopathy
4) Acute Retinopathy (Retinal Artery Spasm)
5) Nephropathy
6) Heart Failure
7) Dissecting Aneurysm
-intense hyperreninemia may induce resulting hypokalemia
-Treatment:
-Decrease BP by 25% within 2 hrs
-Goal BP of 160/100 within 6 hrs
-IV Agents:
1) Nitroprusside
2) Labetalol
3) CCB's
-Rapid-Acting Oral Agents:
1) Loop Diuretics
2) Beta-Blockers
3) Alpha-2-Blockers
4) CCB's
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References: