A 57-year-old male is admitted complaining of headaches and blurting of vision. His blood pressure is found to be 240/150 mmHg and he has bilateral papilledema but is fully orientated and coherent. He had been known to be hypertensive for about five years and his blood pressure control had been good on three drugs. However, he had decided to stop all medication two months before this event. Which of the following would be your preferred parenteral medication at this point?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: C. Labetalol
BP 240/150 with papilloedema = hypertensive emergency (malignant HTN), so it needs an IV agent. Labetalol is one of the most commonly used IV drugs for hypertensive emergencies. Captopril is an oral agent for hypertensive urgency; GTN is mainly chosen for pulmonary oedema/ACS; verapamil is not a hypertensive-emergency drug.
ليش كل خيار صح أو غلط
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A
ليش غلط
Nitroglycerin is a listed IV agent but a common choice mainly for pulmonary edema; the drugs most used in hypertensive emergencies are nitroprusside, labetalol and nicardipine.
✓ CARDIOLOGY-HTN.pdf · p. 12 -
B
ليش غلط
Captopril is listed as a rapid-acting oral agent for hypertensive urgency, whereas emergencies need immediate IV antihypertensives.
✓ CARDIOLOGY-HTN.pdf · p. 12 -
C
ليش صح
IV labetalol (beta blocker with alpha-1 antagonism) is among the drugs most commonly used to treat hypertensive emergencies.
✓ CARDIOLOGY-HTN.pdf · p. 12 -
D
ليش غلط
The IV calcium channel blockers listed for hypertensive emergency are nicardipine and clevidipine; verapamil is not among them.
✓ CARDIOLOGY-HTN.pdf · p. 12
- المصدر
- CARDIOLOGY-HTN.pdf · p. 12
Dr. Al-Ahmadi - HTN and Hypertensive Emergency✅.pdf · p. 10 - المحاضرة
- Hypertensive Crisis & Aortic Dissection · Cardiology · Module B
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- Cardio bank