Content Search Test - MJ-Hypertensive Emergencies Part 3 - Specific Syndromes_Gray

Hypertensive Emergencies Part 3 - Specific Syndromes_Gray - 1

Pdf Summary

This document provides information on hypertensive emergencies, specifically focusing on the signs, symptoms, and treatment goals for various types of hypertensive emergencies. It also discusses the prioritization of specific anti-hypertensive medications for different scenarios and lists the toxicities and side effects of commonly used medications. <br /><br />One specific type of hypertensive emergency discussed is aortic dissection, which is divided into two types. Type A dissection requires surgical management, while Type B dissection can be managed medically. The principles of medical management for aortic dissection include normalizing blood pressure, avoiding tachycardia, and reducing steepness of pulse wave and left ventricle contractility. The goal blood pressure is set at < 120 mmHg systolic and heart rate at 60-70 bpm. Initial treatment involves beta-blockade to avoid reflex tachycardia.<br /><br />The document also covers the diagnosis and treatment of preeclampsia, emphasizing the need to deliver the fetus in severe cases. Medications such as labetalol, hydralazine, and calcium channel blockers are used to lower blood pressure in preeclampsia.<br /><br />Catecholamine excess, such as in pheochromocytoma crisis, is addressed, with the goal blood pressure set at < 140 mmHg. Phentolamine, a pure alpha blocker, is used in these scenarios.<br /><br />Other topics discussed include symptoms and management of hypertensive encephalopathy, unique blood pressure targets for different syndromes, and a summary of various anti-hypertensive medications and their onset, duration, and dosage.

Keywords

hypertensive emergencies

aortic dissection

medical management

blood pressure normalization

preeclampsia

fetus delivery

catecholamine excess

pheochromocytoma crisis

hypertensive encephalopathy

anti-hypertensive medication summary