Hypertensive Emergency

Question 1

Indications for the rapid lowering of systolic BP (usually to < 140 mm Hg) in the first hour of treatment include :

Answer 1

severe pre-eclampsia or eclampsia
aortic dissection
pheochromocytoma

Question 2

Mean Arterial pressure=__+__

Answer 2

⅓ systolic pressure + ⅔ Diastolic

Question 3

Preferred intravenous antihypertensive for HEm+

Aortic dissection

Answer 3

esmolol
+
Sodium
Nitroprusside

Question 4

Preferred intravenous antihypertensive for HEm+

Pulmonary edema

Answer 4

Nitroglycerin

NO BB

Question 5

Preferred intravenous antihypertensive for HEm+

MI

Answer 5

Nitroglycerin

except if prior sildenafil, tadalafil in 48h

Question 6

Preferred intravenous antihypertensive for HEm+

Eclampsia

Answer 6

Hydralazine
or
labetalol

Question 7

Preferred intravenous antihypertensive for HEm+

dysrhythmias

Answer 7

esmolol

Question 8

Preferred intravenous antihypertensive for HEm+

perioperative HTN

Answer 8

esmolol

Question 9

Preferred intravenous antihypertensive for HEm+ 
Cathecolamine excess (pheochromocytoma)

Answer 9

Phentolamine

Question 10

Preferred intravenous antihypertensive for HEm+

CHF

Answer 10

Sodium
Nitroprusside
or
Enalapril

Question 11

Preferred intravenous antihypertensive for HEm+ renal failure

Answer 11

Fenoldopam

(dopamine
receptor
antagonist)

Question 12

Preferred intravenous antihypertensive for HEm+ STROKE

Answer 12

Labetalol
or dihydropyridine calcium channel blockers:
Clevidipine
Nicardipine

Question 13

The drugs most commonly used to treat hypertensive emergencies are

Answer 13

nitroprusside, labetalol, and nicardipine.

Question 14

Mean arterial pressure should not be lowered by more than __% within the first hour, except in special cases

Answer 14

25