Hypertension.ppt - Hypertension The ED Physician’s...

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Unformatted text preview: Hypertension The ED Physician’s Responsibility • Treat true emergencies • Manage complications • Arrange follow-up >/=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 Classification • Hypertensive Emergency • Hypertensive Urgency • Acute Hypertensive Episode • Transient Hypertension 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 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 Acute Hypertensive Episode • Nonemergency / nonurgency • Stage III – sBP ≥ 180 mm Hg or dBP ≥110 mm Hg • Immediate treatment? Transient Hypertension...
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This note was uploaded on 01/24/2012 for the course NURS 110 taught by Professor Laurieblondy during the Winter '11 term at Eastern Michigan University.

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Hypertension.ppt - Hypertension The ED Physician’s...

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