HYPERTENSIVE CRISIS-MANAGEMENT

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SUMMARY

1. Treatment goal is a controlled, steady decrease of the diastolic BP to 100-105 mmHg within 2-6 hours.

2. Generally, IV agents are used (e.g., nitroprusside, nicardipine, labetalol) because oral drugs reduce the BP in a less rapid and less predictable way.

3. Rapid drop in BP may cause an ischemic stroke or MI.


Reference(s)

Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].