Hypertensive Crises
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Questions and Answers

Which of the following is considered a hypertensive emergency?

  • DBP exceeding 120 mm Hg
  • SBP exceeding 180 mm Hg
  • Both SBP exceeding 180 mm Hg and DBP exceeding 120 mm Hg (correct)
  • Neither SBP exceeding 180 mm Hg nor DBP exceeding 120 mm Hg
  • What are some examples of target organ damage that may occur in hypertensive emergencies?

  • Hypertensive encephalopathy and ischemic stroke
  • Myocardial infarction and heart failure with pulmonary edema
  • Dissecting aortic aneurysm and renal failure
  • All of the above (correct)
  • What is the 1-year mortality rate if a hypertensive emergency is left untreated?

  • Between 30% and 50%
  • Less than 10%
  • Between 10% and 30%
  • More than 79% (correct)
  • What is the median survival if a hypertensive emergency is left untreated?

    <p>10.4 months</p> Signup and view all the answers

    What is the management goal for patients with suspected aortic dissection in a hypertensive emergency?

    <p>Reduce SBP to less than 120 mm Hg</p> Signup and view all the answers

    What class of hypertensive crisis occurs when the SBP exceeds 180 mm Hg or the DBP exceeds 120 mm Hg?

    <p>Both hypertensive emergency and hypertensive urgency</p> Signup and view all the answers

    What is the recommended treatment for a hypertensive emergency?

    <p>Continuous monitoring of BP and parenteral administration of antihypertensive medication</p> Signup and view all the answers

    Which of the following is the treatment management goal for patients with suspected severe preeclampsia/eclampsia or pheochromocytoma crises?

    <p>Reduce SBP to less than 140 mm Hg within the first hour of treatment</p> Signup and view all the answers

    What is the treatment management goal for other patients with hypertensive emergencies?

    <p>Reduce SBP by no more than 25% within the first hour of treatment</p> Signup and view all the answers

    What is the eventual goal of treatment for patients with hypertensive emergencies?

    <p>Reduce SBP to a normal, controlled blood pressure within 24 to 48 hours of treatment</p> Signup and view all the answers

    Which of the following are examples of intravenous antihypertensive medications of choice?

    <p>Nicardipine, clevidipine, labetalol</p> Signup and view all the answers

    Is there any research evidence demonstrating the superiority of any antihypertensive medications in treating hypertensive emergencies?

    <p>No, there is no research evidence demonstrating the superiority of any antihypertensive medications</p> Signup and view all the answers

    What is considered severe BP elevation in stable patients without target organ damage?

    <p>SBP greater than 180 mm Hg or DBP greater than 120 mm Hg</p> Signup and view all the answers

    What is the appropriate frequency of monitoring vital signs in a stable situation?

    <p>Every 30 minutes</p> Signup and view all the answers

    What action should be taken if there is a precipitous drop in blood pressure during treatment of hypertensive emergencies?

    <p>Take immediate action to restore blood pressure to an acceptable level</p> Signup and view all the answers

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