specific type of hypertensive emergencies

Question 1

neurologic

- hypertensive encephalopahty

Answer 1

drug of choice
nitroprusside

second line drugs
labetalol or nicardipine

Question 2

neurologic

- subarachnoid hemorrhage

Answer 2

drug of choice
nimodipine

second line drugs
labetalol or nicradipine

Question 3

neurologic

CVA

Answer 3

drug of choice
labetalol

second line drugs
nitroprusside, enalaprilat

Question 4

renal

acute kidney injury

Answer 4

drug of choice
nicardipine

second line drugs
fenolodopam

Question 5

renal

cardiac aortic dissection

Answer 5

drug of choice
beta-blocker + nitroprusside

second line drugs
labetalol, trimethaphan

Question 6

renal

pulmonary edema

Answer 6

drug of choice
nitroglycerine

second line drugs
nitroprusside +- ACE inhibitor

Question 7

renal

cardiac ischemia

Answer 7

drug of choice
Nitroglycerine +- beta-blocker

second line drugs
nitroprusside, labetalol

Question 8

adrenergic crisis

pheochromocytoma

Answer 8

drug of choice
nitroprusside + beta-blocker

second line drugs
phentolamine

Question 9

adrenergic crisis

cocaine

Answer 9

drug of choice
methyldopa

second line drugs
hydralazine

Question 10

eclampsia

Answer 10

drug of choice
methyldopa 
magnesium sulfate (do not use with calcium channel blocker) 

second line drugs
hydralazine