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CASE REPORT: HYPERTENSIVE CRISIS

CASE REPORT: HYPERTENSIVE CRISIS. BLOCK 5. HYPERTENSION. REVIEW of CONCEPTS. CLASSIFYING HTN. JNC 7 (2003). ESH-ESC (2007). 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension . 2007;25:1105–1187.

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CASE REPORT: HYPERTENSIVE CRISIS

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  1. CASE REPORT:HYPERTENSIVE CRISIS BLOCK 5

  2. HYPERTENSION REVIEW of CONCEPTS

  3. CLASSIFYING HTN JNC 7 (2003) ESH-ESC (2007) 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension.2007;25:1105–1187. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–1252.

  4. CLASSIFYING HTN 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension, 2007, 25:1105–1187

  5. CLASSIFYING HTN 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension, 2007, 25:1105–1187

  6. CLASSIFYING HTN 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension, 2007, 25:1105–1187

  7. HTN: END-ORGAN DAMAGE SIGNS of END-ORGAN DAMAGE • BRAIN:neck artery murmurs, sensory or motor deficits • RETINA:fundoscopic abnormalities • HEART: displaced or abnormal apical impulse, abnormal cardiac rhythms, ventricular gallop, pulmonary rales, peripheral edema • PERIPHERAL ARTERIES: assymetry or reduction of pulses, cold extremities, ischemic skin lesions • CAROTID ARTERIES:systolic murmur 2007 Guidelines for the Management of Arterial Hypertension. Journal of Hypertension, 2007, 25:1105–1187

  8. HTN CRISIS: URGENCY or EMERGENCY HTNURGENCY HTNEMERGENCY …severe elevation of BP without progressive target organ dysfunction …severe elevation of BP complicated by evidence of impending or progressive target organ dysfunction Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–1252.

  9. HTN CRISIS: TREATMENT HTNURGENCY HTNEMERGENCY OUTPATIENT or SAME-DAY OBERVATION Oral antihypertensives GOAL: no more than 25% MAP reduction in 1st 24 hours INPATIENT or INTENSIVE CARE Parenteral drugs GOAL: 10% MAP reduction in 1st hour; 15% reduction in next 2-3 hours Hypertensive Urgency and Emergency, Resident Rounds. Hospital Physician. March 2007:43-50

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