Hypertensive Crisis

Question 1

hypertensive urgency is defined as

Answer 1

severe hypertension with SBP>180 / DBP>120 in absence of any end organ damage.

Question 2

goal of treatment of hypertensive urgency

Answer 2

lower BP over several hours to days to no more than 25% to 30% of baseline. rapidly lowering BP can cause cerebral or myocardial ischemia cause it messes with the body’s ability for autoregulation.

Question 3

what medications to start for hypertensive urgency?

Answer 3

oral antihypertensives with close observation for several hours in a quiet environment to help ensure pt remains asymptomatic and blood pressure is stable or improving.

Question 4

hypertensive crisis

Answer 4