Hypertensive Emergency Flashcards
What treatments for Preeclampsia/Eclampsia
hint: 3 drugs
Magnesium sulfate
Hydralazine
Labetalol
What treatment for AKI & hypertensive emergency
hint: 3 drugs
Clevidipine
Labetalol
Nicardipine
1) What is the Blood pressure reduction goal in hypertensive emergency with 1 hours
2) what is the blood pressure goas if stable within next 2-6 hours
3) What the blood pressure SBP goal in Aortic dissection
4) what is the pulse goal in Aortic dissection
1) Reduce MAP by 20-25%
2) Goal 160/100-110 mm hg
3) 100-120mm hg
4) 60- 70 bpm
1) What IV treatment for Aortic dissection
2) If beta blocker is contradiction, what do we use?
hint: non-DHP CCB (2 drugs)
1) Esmolol + Nitroprusside or
Labetalol + Nitroprusside
2) Diltiazem, Verapamil
What is the treatment options for hypertension in Acute Pulmonary edema
Nitrates- Nitroglycerin, Nitroprusside
Low dose loop diuretic
Nicardipine or Clevidipine
treatment for Cocaine- Associated MI
Benzodiazepine: Diazepam/lorazepam
SL nitroglyccerin
CCB if not responsive to benzo and/or NTG
Phentolamine
treatment for Pheochromocytoma & Paraganglioma
Phenoxybenzamine
Nicardipine or clevidipine (acutely) then oral CCB
Terazosin or doxazosin
Labetalol
B-blocker in combination with alpha blocker
Difference between Hypertensive urgency and Emergency & similarity
Urgency- no target organ damage, can lower bp over several hours to days
Emergency- target organ damage, Avoid sudden or drastic decreases in BP (usually a 25% reduction in MAP over several hours
Both- SBP >180 & DBP > 110 mmHg
what hypertensive medication safe in pregnancy
Methyldopa (Aldomet)
Guanfacine (Tenex)
Hydralazine (Apresoline)
Labetalol (Trandate)
Fenoldopam ( Corlopam)
what drug induced hypertension
hint: 2 drug class and 2 drugs
Stimulants used for ADHD
Tricyclic antidepressants (TCA)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
