Hypertensive Emergencies: Immediate Therapy and Risks
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Questions and Answers

What is the recommended lower limit for blood pressure reduction in hypertensive emergencies?

  • 40% below MAP
  • 10% below MAP
  • 30% below MAP
  • 25% below MAP (correct)

Which medication is known for its predominant venodilation at low infusion rates and significant arteriolar dilation at higher dosages?

  • Nitroglycerin (correct)
  • D5W
  • Nifedipine
  • Nitroprusside

What is the potential complication associated with rapid reductions in blood pressure according to the text?

  • Hypertensive urgency
  • Cerebral and myocardial ischemia (correct)
  • Altered cerebral autoregulation
  • Increased oxygen extraction

Which therapy is known for its arteriolar and venous dilation properties in the context of lowering blood pressure?

<p>Nitroprusside (B)</p> Signup and view all the answers

What is the primary effect of Nitroglycerin at low infusion rates?

<p>Venodilation (D)</p> Signup and view all the answers

Which condition warrants urgent therapy according to the Joint National Committee on Detection, Evaluation, and Treatment of HBP?

<p>End-organ disease progression (C)</p> Signup and view all the answers

What is the main objective in treating hypertensive emergencies?

<p>To lower blood pressure within 1 hour to decrease morbidity (D)</p> Signup and view all the answers

Chronic hypertension...

<p>Increases the risk of atherosclerosis, MI, and CVA (B)</p> Signup and view all the answers

What is the definition of hypertensive emergencies?

<p>A rapid decompensation of vital organ function due to elevated BP (A)</p> Signup and view all the answers

What role does endothelial function play in blood pressure homeostasis?

<p>Secretion of vasodilators like nitric oxide (NO) and Prostacyclin (A)</p> Signup and view all the answers

Why might previous normotensives develop signs and symptoms of hypertensive emergencies at lower blood pressure levels?

<p>Because of adaptive vascular changes protecting end organs (D)</p> Signup and view all the answers

What is the main risk of aggressive treatment of acute hypertension?

<p>Increased morbidity and mortality (B)</p> Signup and view all the answers

In hypertensive emergencies, what does CPP stand for?

<p>Cerebral Perfusion Pressure (D)</p> Signup and view all the answers

Which of the following is NOT considered a hypertensive emergency?

<p><strong>Chronic hypertension</strong> (D)</p> Signup and view all the answers

What is the usual contraindication to Labetalol?

<p>Asthma (C)</p> Signup and view all the answers

Which medication is largely outmoded for acute therapy except in pre-eclampsia/eclampsia?

<p>Hydralazine (B)</p> Signup and view all the answers

What is a potential side effect of Diazoxide when given as a bolus?

<p>Cerebral and myocardial ischemia (D)</p> Signup and view all the answers

What is the primary mechanism of action of Clonidine?

<p>Central alpha-agonist; Decreases sympathetic tone (A)</p> Signup and view all the answers

In patients with Hypertensive Encephalopathy, what symptom typically resolves with the reduction of blood pressure?

<p>Confusion (A)</p> Signup and view all the answers

What is the primary function of Nimodipine in subarachnoid hemorrhages?

<p>Prevent cerebrovascular vasospasm (A)</p> Signup and view all the answers

Which situation may arise from acute lowering of blood pressure in Ischemic CVA cases?

<p>Increased risk of hemorrhagic transformation (C)</p> Signup and view all the answers

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