Aidan at 14:10, 2 August 2020

2020-08-02T14:10:40Z

← Older revision		Revision as of 14:10, 2 August 2020
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	== Definition ==		==Definition==

	* Emergency if BP >180/120 associated with new or worsening target organ damage		*Emergency if BP >180/120 associated with new or worsening target organ damage
	* Urgency if stable without target organ damage; they can be managed as outpatients		*Urgency if stable without target organ damage; they can be managed as outpatients

	== Management ==		==Management==

	=== Acute Care ===		===Acute Care===

	==== Target ====		====Target====

	* If aortic dissection, severe preeclampsia, ~~pheo~~ crisis: lower to <140 within the first hour		*If [[aortic dissection]], severe [[preeclampsia]], [[pheochromocytoma]] crisis: lower to <140 within the first hour
	** Or to <120 for aortic dissection		**Or to <120 for aortic dissection
	* Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day		*Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day

	==== Pharmacotherapy ====		====Pharmacotherapy====

	* Labetalol		*[[Labetalol]]
	** Preferred for aortic dissection and acute MI		**Preferred for aortic dissection and acute MI
	* Sodium nitroprusside or nitroglycerin		*Sodium [[nitroprusside]] or [[nitroglycerin]]
	* Hydralazine		*[[Hydralazine]]
	* Nicardipine and enalaprilat, if you can find them		*[[Nicardipine]] and [[enalaprilat]], if you can find them

	[[Category:Cardiology]]		[[Category:Cardiology]]

Maintenance script: Imported from text file

2020-07-04T01:17:39Z

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== Definition ==

* Emergency if BP >180/120 associated with new or worsening target organ damage
* Urgency if stable without target organ damage; they can be managed as outpatients

== Management ==

=== Acute Care ===

==== Target ====

* If aortic dissection, severe preeclampsia, pheo crisis: lower to <140 within the first hour
** Or to <120 for aortic dissection
* Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day

==== Pharmacotherapy ====

* Labetalol
** Preferred for aortic dissection and acute MI
* Sodium nitroprusside or nitroglycerin
* Hydralazine
* Nicardipine and enalaprilat, if you can find them

[[Category:Cardiology]]
[[Category:Critical care]]

Hypertensive crisis - Revision history

Aidan at 14:10, 2 August 2020

Maintenance script: Imported from text file