Definition and Basics - DBP > 120 w/ potential end-organ damage
- Change in BP over change in time is the key not absolute BP
- HTN + neuro sx means NO overzealous normalization
- Decrease BP 20-25% from presenting BP
Ask ABCD - Age
- Allergies
- BPs (previous)
- Current medications and what they take at home
- Diagnostics (i.e. labs)
Medications - hydralazine 10-20 mg PO/IV/IM q6°
- Onset 10-20#
- Lasts 3-8°
- Peripheral vasodilator, CO, HR
- labetalol 20 mg IV q6°
- Onset 5-10#
- Lasts 3-6°
- Beta-blocker can decrease HR
- enalaprilat 1.25-5 mg IV q6°
- Onset 15-30#
- Lasts 6°
- ACEI, NOT in AKI
- nitroglycerin 0.4 mg SL q5# ´3
- 5-200 mcg/min IV
- 5-10-15-20-30-40-60-80-100-120-140-160-180-200 mcg/min q3-5#
- Onset 3-5#
- clonidine 0.1-0.2 mg PO q12°
- MAX 0.8 mg in 24°
- alpha2-agonist, rebound HTN
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