HTN crisis and Acute Peripheral Vascular Insufficiency

Question 1

How does hypertensive crisis differ from HTN urgency?

Answer 1

HTN emergency or crisis is elevated BP with evidence of end-organ damage (brain, heart, kidney, retina). Urgency does not have end-organ damage

Question 2

Nitroprusside

Answer 2

• Preload and afterload reducer
• assess for cyanide toxicity: AMS (restlessness, lethargy), tachycardia, seizure, a need for increase in dose, unexplained metabolic acidosis, especially in those with renal impairment or when drug is used >24 hours

Question 3

6 Ps of PAD

Answer 3

Pain (activity or rest) 
Pallor
Pulse absent or diminished 
Paresthesia 
Paralysis 
Poikilothermia (loss of hair on toes or lower legs, glossy, thin, cool, dry skin

Question 4

Normal Ankle-Brachial Index (ABI)

Answer 4

> 1

Question 5

How to manage PAD

Answer 5

• place bed in reverse trendelenburg

- Do not elevate extremity - will decrease perfusion