Hypertensive emergency is a fairly common cause of ICU admission. Surprisingly little high-quality data is available to guide our management of these patients (e.g. optimal Bp target? ideal rate of reduction? need for arterial line?). This chapter describes a reasonable strategy to these patients, focusing on the pharmacokinetics of various antihypertensives.
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The IBCC chapter is located here.
- The podcast & comments are below.
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Hi! I live in Spain, and I love the page. I have a question. You did not mention urapidil. Can you tell something about it? And, I would like to have some reference about abolition of hypertensive urgency. This is something that have always driven me crazy.
HI, my question is what’s your approach to overcorrection, say BP now 79/5o? Had a patient yesterday on 3mg/Hr cardene @ 150SBP after she came in 240/120. Initially had the cardene 14mg/HR and titrated back to 3mg once her BP 160 (initially thought she was ICH). She then dropped and we put her on levophed with goal 140 SBP. Would appreciate another’s take on how they handle BP goal once/if overcorrection occurs?