Hypertensive Crisis

Question 1

A hypertensive crisis is only considered therapeutic when hypertension is combined with in the organ dysfunction with a map of?

Answer 1

Greater than 120

Question 2

How can a paramedic find the map or mean arterial pressure?

Answer 2

(Diastolic x 2) + systolic/ 3= MAP

Question 3

If a patient’s map is greater than 120 what treatment should they receive?

Answer 3

Labetalol- 20 mg slow IV push over 2 min

Question 4

If the first dose of labetalol is given and patients map is still greater then 120 what should be given?

Answer 4

Labetalol- 40 mg

Question 5

If a patient’s map is still greater than 120 after the first two doses of labetalol, what should the paramedic do?

Answer 5

Labetalol- 80 mg

Question 6

What is the max dose of labetalol a patient can receive?

Answer 6

300 mg

Question 7

When administering labetalol a patient should be placed in what position as not to cause blood pressure to drop?

Answer 7

Supine

Question 8

What are some common signs and symptoms a patient may experience with a hypertensive crisis?

Answer 8

Headache
Blurred vision
Dizziness
General fatigue

Question 9

What are the 3 Contra indications to treating a hypertensive crisis?

Answer 9

Asthma
Heart block
bradycardia