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hypertensive urgency is defined as ?
SBP> 180 and or DBP>120, with no evidence of end organ damage
Hypertensive emergency ?
1. DBP>120 with evidence of end organ damage
Evidence of end organ damage?
- retinal hemorrhages, papilledema , hypertensive encephalopathy, stroke, malignant nephrosclerosis
hypertensive emergency labs/imaging?
STAT: CT HEAD, chest XR, BMP, UA, CBC , this allows dx of stroke, pulmonary edema, renal impairment, and hemolysis.
Hypertensice emergency what do you first?
- 1. R/O stroke - because if stroke a sudden decrease in BP is bad
- 2. than manage BP