Hypertensive crises

Question 1

Hypertensive urgency:

captopril dose?

Answer 1

25-50mg q1-2hr

Question 2

Hypertensive urgency:

captopril onset?

Answer 2

15-30mins

Question 3

Hypertensive urgency:

Captopril caution with ___

Answer 3

renal failure

Question 4

Hypertensive urgency:

captopril contraindicated with ____

Answer 4

bilateral renal artery stenosis (or unilateral RAS with one kidney)

Question 5

Hypertensive urgency:

clonidine onset?

Answer 5

30-60mins

Question 6

Hypertensive urgency:

clonidine duration?

Answer 6

6-10hrs

Question 7

Hypertensive urgency:

clonidine dose?

Answer 7

0.1-0.2 mg/hr up to 0.8 g total

Question 8

Hypertensive urgency:

clonidine caution with ___?

Answer 8

AMS

altered mental status

Question 9

Hypertensive urgency:

clonidine contraindicated with?

Answer 9

severe carotid artery stenosis

Question 10

Hypertensive urgency:

labetalol onset?

Answer 10

20-120mins

Question 11

Hypertensive urgency:

labetalol duration?

Answer 11

8-12hrs

Question 12

Hypertensive urgency:

labetalol dosing?

Answer 12

200-400mg q2-3hrs

Question 13

Hypertensive urgency:

labetalol ADR?

Answer 13

bronchospasm, HF exacerbation, bradycardia/heart block

Question 14

Hypertensive urgency:

minoxidil onset?

Answer 14

30mins

Question 15

Hypertensive urgency:

minoxidil duration?

Answer 15

2-5 days

Question 16

Hypertensive urgency:

minoxidil ADR?

Answer 16

tachycardia, edema

Question 17

Hypertensive urgency:

minoxidil contraindications?

Answer 17

angina, HF

Question 18

Hypertensive urgency:

nifedipine onset?

Answer 18

20mins

Question 19

Hypertensive urgency:

nifedipine duration?

Answer 19

4-6hrs

Question 20

Hypertensive urgency:

nifedipine dosing?

Answer 20

10-20mg

Question 21

Hypertensive urgency:

nifedipine ADR?

Answer 21

flushing, headache, edema

Question 22

Hypertensive urgency:

nifedipine contraindicated with?

Answer 22

severe aortic stenosis, CAD, cerebrovascular disease

Question 23

Hypertensive emergency Tx:

First reduce MAP by?

Answer 23

25% in 60mins

Question 24

Hypertensive emergency Tx:

Next reduce SBP to ___ and DBP to ___

Answer 24

160, 100-110 within next 2-6 hrs

Question 25

HTN emergency Tx exceptions: acute ischemic stroke

Answer 25

do not lower unless >=220/120 or >=185/110 in tPA candidates

Question 26

HTN emergency Tx exceptions: pheochromocytoma crisis

Answer 26

lower SBP to <140 within 1 hr

Question 27

HTN emergency Tx exceptions: eclampsia or severe preeclampsia

Answer 27

lower SBP to <140 within 1 hr

Question 28

HTN emergency Tx exceptions: aortic dissection

Answer 28

lower SBP to <120 within 1 hr

Question 29

Labetalol IV dose for hypertensive emergency?

Answer 29

20mg q10min | max: 300mg