This beginning quiz is merely to set the stage for hypertensive cases and not all-inclusive.
Sodium nitroprusside 0.75 mcg/kg/min IV
Metoprolol tartrate 25 mg PO
Hydralazine 15 mg IV bolus
Labetalol 20 mg IV push then 15 mg every 10 minutes
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Check medication adherence
Emphasize restriction of sodium in diet
Potentially increase current dose of HCTZ to 50 mg QD
Re-evaluate in a week
All of the above
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Hypertensive urgency; < 180/100 mmHg in 1 hour
Hypertensive urgency; < 160/100 mmHg in 36 hours
Hypertensive emergency; reduce mean arterial pressure to 120 mmHg in 2 hours
Hypertensive emergency; < 120/80 mmHg in 30 minutes
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Metoprolol 25 mg PO
Lisinopril 20 mg PO
Furosemide 80 mg PO
Labetalol 20 mg IV then 15 mg IV every 10 minutes thereafter
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Hypertensive urgency; < 120/80 mmHg in 30 minutes
Hypertensive emergency; mean arterial pressure of 130 mmHg in 3 hours
Hypertensive emergency; diastolic blood pressure of 120 mmHg between 30-60 minutes
Hypertensive emergency; mean arterial pressure of 140 mmHg in 2 hours
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Lisinopril 40 mg PO
Nitroglycerin 50 mcg/min IV infusion
Amlodipine 10 mg PO
Enalaprilat 5 mg IV bolus
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Hypertensive urgency; < 160/100 mmHg over 4 hours
Hypertensive Emergency; mean arterial pressure of 105 mmHg in 2 hours
Hypertensive Emergency; diastolic blood pressure of 95 mmHg in 30 minutes
Hypertensive Emergency; < 120/80 mmHg in 4 hours
B or C
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Sodium nitroprusside 5 mcg/kg/min IV followed by appropriate titration
Diltiazem 120 mg PO
Hydralazine 10 mg PO
Labetalol 20 mg IV push then 15 mg every 10 minutes thereafter
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Carvedilol 6.25 mg PO
Lisinopril 10 mg PO
Labetalol 20 mg IV then 15 mg q10 minutes thereafter
Enalaprilat 5 mg IV bolus
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Metoprolol 25 mg PO
Nicardipine 5 mg/hr IV initial infusion
Amlodipine 10 mg PO
Enalaprilat 5 mg IV bolus
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Esmolol 1 mg/kg IV loading dose over 1 minute then appropriate titration
Losartan 50 mg PO
Hydralazine 25 mg PO
Hydralazine 15 mg IV bolus with possible re-bolus q20 minutes
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Quiz Review Timeline (Updated): Mar 21, 2023 +
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