A 55 year old female is brought in by EMS in marked respiratory distress. "BP is pretty high doc" the medic notes as you enter the room. Read on for a discussion of how to master treatment of this common, but frightening disease process...
Last week, we briefly defined hypertensive emergency as acute blood pressure elevation (SBP >180 and/or DBP>120) with evidence of end-organ damage. (Remember, hypertensive urgency is the same blood pressure elevation without end-organ damage). Once we have identified a hypertensive emergency, what are our best treatment options? Below is a quick guide (not comprehensive) to some go-to options.
A 17 year-old male presents to the Emergency Department with palpitations and shortness of breath that started suddenly one hour ago while driving with his friends. No prior medical/surgical history. Patient denies any drugs, alcohol, tobacco use. On your exam, he appears short of breath. Heart rate is regular and tachycardic.