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CRISES
Mini-Lecture
Objectives:
Define the various types of hypertensive
crises
Recognize signs and symptoms
associated with hypertensive crises
Treatment options
Clinical Vignette
Definitions:
Hypertension:
Stage
I: 140-159/90-99
Stage II: >160/100
Hypertensive Urgency:
Systolic
Definitions Continued:
Hypertensive Emergencies:
SBP
Hypertensive Urgency:
Can
be completely asymptomatic
Some symptoms include:
Severe headache
Shortness of breath
Nosebleeds
Severe anxiety
Signs:
S&S Continued
Hypertensive Emergencies
Symptoms:
Signs:
Retinal
Treatment Options
Hypertensive Urgency:
Goal:
Previously
treated hypertension:
Treatment continued
untreated hypertension:
Treatment Continued
Hypertensive Emergency:
Goal:
If
Treatment
Recommended parenteral
antihypertensive agents (IV drip) for
Hypertensive Emergencies and admission
to ICU
Nitroprusside
Summary