Hypertensive urgency: Difference between revisions

Revision as of 17:25, 12 March 2011

Major elevation in BP, roughly in range of >220/>120, but

Clonidine 0.1 - 0.2mg PO to start
1. Goal: 20% reduction of MAP or to diastolic 110

Hydrochlorothiazide 12.5-25mg PO qday
1. If on other antiHTN, add 6.25-12.5mg PO qday
If already on diuretic:
1. CAD - Beta blocker
2. CHF - ACEi or ARB
3. RF - ACEi or ARB
4. DM - ACEi or ARB
5. Isolated systolic htn: lonag acting CCB or ACEi/ARB

Bresler (ACEP '09)

Authors:

@@ Line 1: / Line 1: @@
 ==Definition==
 Major elevation in BP, roughly in range of >220/>120, but
+#without evidence of acute organ failure
--without evidence of acute organ failure
+#no acute symptoms directly attributable to elevated BP
--no acute symptoms directly attributable to elevated BP
 ==Treatment==
+#Unnecessary in ED, but if you must...
-Unnecessary in ED, but if you must...
 ===ED RX===
+#Clonidine 0.1 - 0.2mg PO to start
+##Goal: 20% reduction of MAP or to diastolic 110
-Clonidine 0.1 - 0.2mg PO to start
-     Goal: 20% reduction of MAP or to diastolic 110
 ===Post ED RX===
+#Consider in:
+#Consistantly > 100 diastolic
+#Chronic CHF
+#CAD
+#CRF
+#DM
+#Hydrochlorothiazide 12.5-25mg PO qday
-Consider in:
+##If on other antiHTN, add 6.25-12.5mg PO qday
+#If already on diuretic:
-Consistantly > 100 diastolic
+##CAD - Beta blocker
+##CHF - ACEi or ARB
-Chronic CHF
+##RF - ACEi or ARB
+##DM - ACEi or ARB
-CAD
+##Isolated systolic htn: lonag acting CCB or ACEi/ARB
-CRF
-DM
--Hydrochlorothiazide 12.5-25mg PO qday
-If on other antiHTN, add 6.25-12.5mg PO qday
-If already on diuretic:
-CAD - Beta blocker
-CHF - ACEi or ARB
-RF - ACEi or ARB
-DM - ACEi or ARB
-Isolated systolic htn: lonag acting CCB or ACEi/ARB
 ===Source===
 Bresler (ACEP '09)
 [[Category:Cards]]