Hypertensive urgency v hypertensive emergency PDF

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hypertensive urgency vs hypertensive emergency...

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MEGAN MCINERNEY Hypertensive urgency vs Hypertensive emergency.

Hypertensive Urgency

Hypertensive Emergency

Definition Marked elevation in blood pressure without evidence of organ damage (Alley & Copelin, 2020)

Parameters Systolic blood pressure >180 mmHg or diastolic >120 mmHg in an otherwise stable person without clinical or lab evidence of organ damage. (Aronow, 2017)

Acute, marked elevation in blood pressure that is associated with signs of target-organ damage. Ex: pulmonary edema, cardiac ischemia, neurologic deficits, acute renal failure, aortic dissection, and eclampsia. (Alley, 2021)

Systolic blood pressure >180 mmHg or diastolic >120 mmHg with the presence of acute target organ damage. (Aronow, 2017)

Treatment Sodium nitroprusside. IV labetalol produces a prompt, controlled reduction in blood pressure and is an alternative. Other agents: diazoxide, trimethaphan, camsylate, hydralazine, nitroglycerin, phentolamine. (JL, 1988) These patients need effective and rapid acting medications administered intravenously to lower the elevated blood pressure safely, protect target organ function. Drug of choice is IV nitroglycerin, clevidipine, or nitroprusside. Beta blockers are contraindicated in treatment of pulmonary edema. (Aronow, 2017)

References Alley, W. D. (2021, July 31). Hypertensive emergency. StatPearls [Internet]. Retrieved October 1, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK470371/#:~:text=A%20hypertensive %20emergency%20is%20an,%2C%20aortic%20dissection%2C%20and%20eclampsia. Alley, W. D., & Copelin, E. L. (2020, November 20). Hypertensive urgency. StatPearls [Internet]. Retrieved October 1, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK513351/. Aronow, W. S. (2017, May). Treatment of hypertensive emergencies. Annals of translational medicine. Retrieved October 1, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440310/#:~:text=Hypertensive %20urgencies%20are%20diagnosed%20if,damage%20(1%2D6). JL;, S. (1988, August). Drug therapy of hypertensive crises. Clinical pharmacy. Retrieved October 1, 2021, from https://pubmed.ncbi.nlm.nih.gov/3048849/....