Severely elevated BP defined by a SBP >179 mm Hg or a DBP >109 mm Hg
Severely elevated BP without end-organ damage
Use of any prescribed and OTC medication
Duration and control of pre-existing HTN
Prior end-organ damage
Details of antihypertensive therapy
Consider gentle BP reduction.
ABC, cardiac monitoring, pulse oximetry
All patients with end-organ damage
ICU for cardiac and BP monitoring
Absence of end-organ damage
Likely to be compliant with primary care
Avoid IV agents for hypertensive urgency
BP goal in hypertensive emergency is a reduction of the MAP by 20–25% within the 1st hr except in ischemic CVA and aortic dissection
Johnson W, Nguyen ML, Patel R. Hypertension crisis in the emergency department. Cardiol Clin. 2012; 30(4):533–543.
Marik PE, Rivera R. Hypertensive emergencies: An update....
401.9 Unspecified essential hypertension
437.2 Hypertensive encephalopathy
I10 Essential (primary) hypertension
I67.4 Hypertensive encephalopathy
132721000119104 Hypertensive emergenc...
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