Crisis hipertensivas Flashcards

1
Q

Definición

A

PAS >180
PAD >110

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2
Q

Diferencia entre urgencia y emergencia

A

a E i o U

Emergencia: daño a órgano diana
Urgencia: sin daño

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3
Q

FR

A
  1. TABAQUISMO
  2. HTA, DM, obesidad
  3. Cardiopatía isqu
  4. Psicosociales
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4
Q

Clasificación HTA JNC VIII

A

Normal <120, <80
Pre HTA 120-139, 80-89
Etapa 1 140-159, 90-99
Etapa 2 >160, >100

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5
Q

Tx urgencia

A

AMBULATORIO, VO
Disminuir PAM 25% en 24-48 hrs
Captopril, valorar 30 min y repetir 3 máx
Furo IV
Labetalol

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6
Q

Tx emergencia

A

HOSPITALIZACIÓN, IV
Disminuir PAM 20-25% en 2 hrs
PAD 10-15%

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7
Q

Encefalopatía hipertensiva

A

LABETALOL
Nicardipino

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8
Q

Edema pulmonar

A

PAS <140 rápido
Nitroprusiato o nitroglicerina + furo

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9
Q

¿Cuántos mmHg baja la PA en dieta, pérdida pesos y sal?

A

C/10 kg perdidos = disminuye PAS 15-20
Dieta = disminuye PAS 8
Sal = disminuye PAD 8-10

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