Document Detail

Management of hypertensive emergency and urgency.
MedLine Citation:
PMID:  21543908     Owner:  NLM     Status:  MEDLINE    
Severe hypertension is a frequent condition among patients presenting to emergency departments. Historically, this has been referred to as a hypertensive crisis. In addition, these hypertensive crises have been further divided into either hypertensive emergencies or urgencies depending on the presence or absence of target organ damage, respectively. The management differs between these crises in both the rapidity of blood pressure correction and the medications used. Hypertensive emergencies must be treated immediately with intravenous antihypertensive medications. However, hypertensive urgencies may be treated with oral antihypertensive agents to reduce the blood pressure to baseline or normal over a period of 24-48 hr. Appropriate identification, evaluation, and treatment of these conditions are of great importance in the emergency department to prevent progression of organ damage and death. The purpose of this article is to provide an overview of the hypertensive crises and their management.
Derek M Polly; Christopher A Paciullo; Chad J Hatfield
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advanced emergency nursing journal     Volume:  33     ISSN:  1931-4493     ISO Abbreviation:  Adv Emerg Nurs J     Publication Date:    2011 Apr-Jun
Date Detail:
Created Date:  2011-05-05     Completed Date:  2011-08-16     Revised Date:  2011-12-19    
Medline Journal Info:
Nlm Unique ID:  101285075     Medline TA:  Adv Emerg Nurs J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  127-36     Citation Subset:  IM; N    
Department of Pharmaceutical Services, Emory University Hospital, Atlanta, Georgia 30322, USA.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Emergency Service, Hospital / organization & administration*
Hypertension / drug therapy,  physiopathology*,  therapy*
Reg. No./Substance:
0/Antihypertensive Agents
Erratum In:
Adv Emerg Nurs J. 2011 Oct-Dec;33(4):278

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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