Hypertensive Emergency

Question 1

Esmolol

Answer 1

500mcg/kg IV over 1 min

then titrate from 50-200mcg/kg/min

Question 2

Labetolol

Answer 2

20mg slow IVP,
then 40-80mg IV q10min PRN
or
after initial dose, start gtt @ 0.5-2mg/min
max: 300mg

Question 3

Metoprolol (lopressor)

Answer 3

5mg IV x 3 PRN

Question 4

Nitroglycerine

Answer 4

10-20mcg/min IV

titrate to 200mcg/min

Question 5

Nitroprusside

Answer 5

0.3mcg/kg/min IV

titrate to 10mcg/kg/min