Krisis Hipertensi Flashcards
Krisis Hipertensi
TDS ≥180 mmHg
ATAU
TDD ≥120 mmHg
Mean Arterial Pressure (MAP)
(1S + 2D)/3
Kriris Hipertensi (2)
Krisis Hipertensi Urgensi
Krisis Hipertensi Emergensi
Krisis Hipertensi Urgensi
→ mendesak
Target organ (-)
TD ↓ 24 jam → MAP 25%
Tx Krisis Hipertensi Urgensi
Anti HT oral → Captopril SL
Krisis Hipertensi Emergensi
→ gawat darurat
Target organ (+) → kerusakan organ
TD ↓ 2 jam → MAP 25%
Tx Krisis Hipertensi Emergensi
Anti HT IV
💡 NI NI LA BIL
Kecuali target organ jantung → nitroprusid
Nicardipin/nifedipin
Nitroprusid/nitrogliserin/ISDN
Labetalol
Diltiazem
Target Organ Krisis Hipertensi (6)
Otak
Mata
Paru
Jantung
Hepar
Ginjal
Target Organ Krisis Hipertensi: Otak
Stroke, nyeri kepala hebat (TIK↑: muntah, kejang, def neruro; thunderclap headache), kejang, penkes
Target Organ Krisis Hipertensi: Mata
Retinopati, perdarahan retina, mata kabur
Target Organ Krisis Hipertensi: Paru
Sesak napas, rhonki basah basal
Target Organ Krisis Hipertensi: Jantung
Nyeri dada
Target Organ Krisis Hipertensi: Hepar
Ikterik, mual, muntah, fungsi hepar ↑ (SGOT/SGPT)
Target Organ Krisis Hipertensi: Ginjal
Fungsi ginjal ↑, oliguria (<400 ml), anuria (<100 ml)