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11 Cards in this Set
- Front
- Back
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Whats the difference between hypertensive urgency and emregency?
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Both in involve BP of greater than 180/120 but emergency has evidence of end organ damage
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Name some lab tests or imaging you would order for possible cardiac end organ damage.
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Lateral/PA x-ray; CPK, troponin, EKG, BNP
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Compelling indications for Acute MI w/ HT
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BB, ACEI/ARBS, Nitrates
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Compelling inidications for Aortic Dissection w/ HT
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Beta Blockers
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ACEI for pregnancy?
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No
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Compelling indications for pregnancy/MI
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Labetolol, Hydralazine, Mg Sulfate
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Contraindicated in Acute Renal Failure w/ HT?
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ACEI/ARB
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Contraindicated in cocaine w/ HT?
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BB
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Contraindicated in CHF w/HT
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BB or CCB
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Hypertensive emergency, pt admitted to ICU, give the timeline for tx strategy?
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IV drugs
within first hour- 25% reduction in MAP 6 hours: 160/100-10 24-48 hrs- trend toward normotension |
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Tx strategy for hypertensive urgency?
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short acting oral anti-HTs, observation for few hours, can be discharged after 1-2 day follow up scheduled
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