Hypertensive Crisis:
- sudden, dangerous, elevation in BP
- can lead to organ and tissue damage quickly
- BP is > 180/120
- Symptoms: headache, confusion, vision changes, chest pain, dyspnea, sensory deficit, seizure activity
- Goal: reduce BP by no more than 25% w/in an hour, then toward 160/100 w/in 2-6hours.
- It is important to avoid rapid or excessive BP decreases that may lead to renal, cerebral or cardiac ischemia.
- IV medication for rapid and predictable action
- Nipride - vasodilator, easy to titrate
- Vasodilator - nitroglycerin, apresoline
- Enalaprilat - ace inhibitor
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