Hypertensive Crises Flashcards
1
Q
Define hypertensive urgency.
A
SBP ≥180 and/or DBP ≥120
2
Q
Define hypertensive emergency.
A
SBP ≥180 and/or DBP ≥120 with evidence of target organ dysfunction
3
Q
What symptoms commonly present during hypertensive crises?
A
- Increased blood pressure
- Numbness/weakness
- Chest pain
- Shortness of breath
- Back pain
- Headache
- Blurry vision
4
Q
What can cause hypertensive emergencies?
A
- Drugs
- Stroke/MI
- Endocrine disorders
- Renal disorders
- Pregnancy (eclampsia/preeclampsia)
5
Q
What organs can be affected during a hypertensive crisis, and how?
A
- Brain: altered mental status, headache
- Kidneys: increased SCr, reduced urine output, back pain
- Heart: chest pain, arrhythmias
- Liver
- Respiratory
- GI
6
Q
What are some consequences of uncontrolled BP >180/120?
A
- Stroke/MI
- Memory loss
- Eye damage
- Kidney injury
- Back pain
- Aortic dissection
7
Q
What labs should be evaluated when working up a patient for hypertensive crisis?
A
- Complete blood count (CBC)
- Electrolytes
- Liver function tests (ASL/ALT)
- Serum creatinine
8
Q
A
