hypertensive urgency

Today we talked about a case of hypertensive URGENCY.

We reviewed sthe differnence of Urgency (no end organ damage, should lower soon) vs Emergency (end organ damage present-->must lower soon now)

In general, aim for a decrease in MAP (not SBP) by no more than 20-25% within 2 hours, or a DBP brought down to 110ish. 

EXCEPTIONS: stroke- less rapid lowering; dissection- more rapid lowering

HERE is a good resource for management from CHEST.

Have a lovely long weekend!

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