Hypertensive Emergency Flashcards
(20 cards)
What treatments for Preeclampsia/Eclampsia
hint: 3 drugs
Magnesium sulfate
Hydralazine
Labetalol
What treatment for AKI & hypertensive emergency
hint: 3 drugs
Clevidipine
Labetalol
Nicardipine
1) What is the Blood pressure reduction goal in hypertensive emergency with 1 hours
2) what is the blood pressure goas if stable within next 2-6 hours
3) What the blood pressure SBP goal in Aortic dissection
4) what is the pulse goal in Aortic dissection
1) Reduce MAP by 20-25%
2) Goal 160/100-110 mm hg
3) 100-120mm hg
4) 60- 70 bpm
1) What IV treatment for Aortic dissection
2) If beta blocker is contradiction, what do we use?
hint: non-DHP CCB (2 drugs)
1) Esmolol + Nitroprusside or
Labetalol + Nitroprusside
2) Diltiazem, Verapamil
What is the treatment options for hypertension in Acute Pulmonary edema
Nitrates:
Nitroglycerin, (esp. of angina or mitral regurgitation)
Nitroprusside, (without angina, severe HF or regurg)
Low dose loop diuretic
Nicardipine or Clevidipine
treatment for Cocaine- Associated MI
Benzodiazepine: Diazepam/lorazepam
SL nitroglyccerin
CCB if not responsive to benzo and/or NTG
Phentolamine
treatment for Pheochromocytoma & Paraganglioma
Phenoxybenzamine -> Terazosin or doxazosin
Nicardipine or clevidipine (acutely) then oral CCB
Terazosin or doxazosin
Labetalol
B-blocker in combination with alpha blocker
Difference between Hypertensive urgency and Emergency & similarity
Urgency- no target organ damage, can lower bp over several hours to days
Emergency- target organ damage, Avoid sudden or drastic decreases in BP (usually a 25% reduction in MAP over several hours
Both- SBP >180 & DBP > 110 mmHg
what hypertensive medication safe in pregnancy
Methyldopa (Aldomet)
Guanfacine (Tenex)
Hydralazine (Apresoline)
Labetalol (Trandate)
Fenoldopam ( Corlopam)
what drug induced hypertension
hint: 2 drug class and 2 drugs
Stimulants used for ADHD
Tricyclic antidepressants (TCA)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
What drug class use to tx
Stable Ischemic heart disease
Beta-blockers
Ace inhibitors
ARBs
Dihydropyridine CCB
Thiazide diuretics
What drug class use avoid in
Heart Failure with reduced EF
Non-dihydropyridine CCS
What is Nitroglycerin use for
Acute Myocardial Infarction
Acute Pulmonary Edema
Heart Failure
What is Nitroprusside use for
Acute Pulmonary Edema
Acute Myocardial Infarction
Aortic Dissection
Heart Failure
What is Phentolamine use for
Cocaine Associated MI
Pheochromocytoma
What is Clevidipine use for
Acute Kidney Injury
Heart failure
What is Nicardipine use for
Acute Pulmonary Edema
Heart Failure
Stroke
What is Esmolol for
Aortic Dissection
Hypertensive Encephalopathy
What is labetalol for
Aortic Dissection
Cocaine Associated MI
Hypertensive Encephalopathy
Pre-eclampsia
Stroke
What is Fenoldopam for
Acute Kidney Injury
Acute Pulmonary Edema
Hypertensive Encephalopathy
Stroke
