Hypertensive urgency: Difference between revisions

Revision as of 22:43, 22 May 2011

Elevation in BP without acute end-organ damage

Hydrochlorothiazide 25mg PO qday
If already on diuretic:
1. CAD - Beta blocker
2. CHF - Lisinopril 10mg daily
3. RF - Lisinopril 10mg daily
4. DM - Lisinopril 10mg daily

Authors:

@@ Line 1: / Line 1: @@
-==Definition==
+== Definition ==
-Major elevation in BP, roughly in range of >220/>120, but
+Elevation in BP without acute end-organ damage
-#without evidence of acute organ failure
-#no acute symptoms directly attributable to elevated BP
-==Treatment==
+== Treatment ==
-#Unnecessary in ED, but if you must...
+#Unnecessary in ED
+#Consider beginning outpt tx if BP >180/100
-===ED RX===
+===Outpatient Therapy===
-#Clonidine 0.1 - 0.2mg PO to start
+#Hydrochlorothiazide 25mg PO qday
-##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
-##If on other antiHTN, add 6.25-12.5mg PO qday
 #If already on diuretic:
 ##CAD - Beta blocker
-##CHF - ACEi or ARB
+##CHF - Lisinopril 10mg daily
-##RF - ACEi or ARB
+##RF - Lisinopril 10mg daily
-##DM - ACEi or ARB
+##DM - Lisinopril 10mg daily
-##Isolated systolic htn: lonag acting CCB or ACEi/ARB
-===Source===
+=== Source ===
-Bresler (ACEP '09)
 [[Category:Cards]]
-[[Category:GU]]