HTN Crisis

Question 1

Sodium nitroprusside

Answer 1

Pros: onset in sec
Cons: cyanide toxicity

Question 2

Nitroglycerin

Answer 2

Pros: for coronary ischemia
Cons: onset in mins

Question 3

Hydralazine

Answer 3

Pros: for bradycardia pts
Cons: not titratable or predictable

Question 4

Labetalol

Answer 4

Pros: decr HR and BP
Cons: bradycardia, not for asthma/COPD pts

Question 5

Esmolol

Answer 5

Pros: decr HR in BP emergency
Cons: not used to lower BP in emergency

Question 6

Enalaprilat

Answer 6

Pros: good for renin excess
Cons: pregnancy

Question 7

Clonidine

Answer 7

Pros: PO if no IV option
Cons: HTN crisis upon withdrawal

Question 8

Nicardipine

Answer 8

Pros: lower risk of AE
Cons: titrate cautiously w/ renal/hepatic impairment

Question 9

Clevidipine

Answer 9

Pros: doesn’t accumulate in impaired organ
Cons: egg/soy allergy, IV lines need changed Q12H