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Hypertension - Hypertension The ED Physicians...

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Hypertension
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The ED Physician’s Responsibility Treat true emergencies Manage complications Arrange follow-up
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>/=110 or >/=180 Stage 3 --- 100-109 or 160-179 Stage 2 --- >/=100 or >/= 160 Stage 2 90-99 or 140-159 Stage 1 Stage 1 Hypertension Hypertension 85-89 or 130-139 High-normal --- <85 and <130 Normal --- 80-89 or 120-139 Pre HTN 80 and <120 Optimal Normal dBP and/or sBP JNC 6 JNC 7 Blood Pressure Classification
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Classification Hypertensive Emergency Hypertensive Urgency Acute Hypertensive Episode Transient Hypertension
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Hypertensive Emergency Relative BP increase + TARGET ORGAN DAMAGE Hypertensive encephalopathy/AMS, ICH, acute LV failure w/ pulmonary edema, unstable angina, acute MI, dissecting aortic aneurysm, renal failure, eclampsia
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Hypertensive Urgency Relative increase in BP + risk factors which increase likelihood of target organ damage No evidence-based data for guidance Chronic disease vs. acute deterioration
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Acute Hypertensive Episode Nonemergency / nonurgency Stage III – sBP ≥ 180 mm Hg or dBP ≥110 mm Hg Immediate treatment?
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Transient Hypertension
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  • Winter '11
  • LaurieBlondy
  • hypertensive retinopathy, hypertensive urgency, Acute Hypertensive Episode, •Acute Hypertensive Episode

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