Hypertensive Emergencies. Herb Russell D.O. September 28, 2006. Why this is a difficult topic. Hypertension is common (up to 25%, 50 million ) but emergencies are rare Failing to treat an emergency AND treating a non-emergency can have serious consequences for the patient
Herb Russell D.O.
September 28, 2006
New classification scheme:
Transient Hypertension: Hypertension that occurs in association with
Some toxic substances
Cessation of medicationsDefinitions
-CNS -Heart -Retina
-Pulmonary -Pulses -Renal
Proteinuria >300mg per 24 hr.
Peripheral edema or weight gain >5 lbs in 1 week
Presents >20 weeks except in gestational trophoblastic disease
Pre-eclampsia + seizures – This is an emergency !!!!
Variant of pre-eclampsia
Blood pressure lower
Predilection for multigravidsPregnancy and Hypertension
von Recklinhausen’s disease (aka neurofibromatosis)
GuanethidineMAOIs and medications
Restart prescribed anti-hypertensive medications for the non-compliant patient
Follow up within 24 hours
Nifedipine (don’t use)Treatment of Hypertensive Urgencies