15 Questions
Which of the following is considered a hypertensive emergency?
Both SBP exceeding 180 mm Hg and DBP exceeding 120 mm Hg
What are some examples of target organ damage that may occur in hypertensive emergencies?
All of the above
What is the 1-year mortality rate if a hypertensive emergency is left untreated?
More than 79%
What is the median survival if a hypertensive emergency is left untreated?
10.4 months
What is the management goal for patients with suspected aortic dissection in a hypertensive emergency?
Reduce SBP to less than 120 mm Hg
What class of hypertensive crisis occurs when the SBP exceeds 180 mm Hg or the DBP exceeds 120 mm Hg?
Both hypertensive emergency and hypertensive urgency
What is the recommended treatment for a hypertensive emergency?
Continuous monitoring of BP and parenteral administration of antihypertensive medication
Which of the following is the treatment management goal for patients with suspected severe preeclampsia/eclampsia or pheochromocytoma crises?
Reduce SBP to less than 140 mm Hg within the first hour of treatment
What is the treatment management goal for other patients with hypertensive emergencies?
Reduce SBP by no more than 25% within the first hour of treatment
What is the eventual goal of treatment for patients with hypertensive emergencies?
Reduce SBP to a normal, controlled blood pressure within 24 to 48 hours of treatment
Which of the following are examples of intravenous antihypertensive medications of choice?
Nicardipine, clevidipine, labetalol
Is there any research evidence demonstrating the superiority of any antihypertensive medications in treating hypertensive emergencies?
No, there is no research evidence demonstrating the superiority of any antihypertensive medications
What is considered severe BP elevation in stable patients without target organ damage?
SBP greater than 180 mm Hg or DBP greater than 120 mm Hg
What is the appropriate frequency of monitoring vital signs in a stable situation?
Every 30 minutes
What action should be taken if there is a precipitous drop in blood pressure during treatment of hypertensive emergencies?
Take immediate action to restore blood pressure to an acceptable level
Test your knowledge on hypertensive crises and learn about the two classes that require immediate intervention: hypertensive emergency and hypertensive urgency. Understand the blood pressure thresholds and conditions that may lead to these crises.
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