Abstract
Hypertensive crises are a group of clinicopathological entities in which rapid reduction of hypertension is necessary to prevent serious end-organ damage. The diagnosis and treatment plan depends on the identification of specific end-organ dysfunction. The goal of treatment is to limit the progression of end-organ damage in patients with hypertensive crises. Several potent antihypertensive drugs, such as sodium nitroprusside, labetalol and urapidil, are available to produce an immediate fall in blood pressure. The choice of the drug should be made on the basis of its pharmacodynamic properties, clinical effects, advantages and contraindications. Additionally, rapid reduction of blood pressure carries a considerable risk, if it is performed in an uncontrolled manner, leading to further end-organ damage. The aim of the treatment is not just to reduce blood pressure, but to do so with minimal adverse effects while preserving organ function.
Citations
Apr 16, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·J A Sullivan
Jul 18, 2002·Holistic Nursing Practice·D J Rosenow, E Russell
Mar 9, 1999·Journal of Cardiovascular Pharmacology·M SánchezA Coca
Dec 8, 2006·Seminars in Dialysis·Andrew R Haas, Paul E Marik
Aug 26, 2009·Epilepsia·Scott Mintzer, Richard T Mattson
Sep 17, 2003·Critical Care : the Official Journal of the Critical Care Forum·Joseph Varon, Paul E Marik
Jul 29, 1998·Intensive Care Medicine·W SchreiberM M Hirschl
Mar 11, 2008·Journal of Hypertension·Marianne VlcekMichael M Hirschl
Jun 15, 2007·Chest·Paul E Marik, Joseph Varon
Jun 26, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·G CarlesM Youssef
Jul 14, 2000·Chest·J Varon, P E Marik
Jan 5, 2011·European Journal of Clinical Investigation·Nina Holzer-RichlingWolfgang Schreiber
Nov 10, 2015·Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences·Shuangjiao SunBiyang Deng
Oct 18, 2016·International Journal of Implant Dentistry·Motoshi KimuraYuko Kimura
Mar 3, 2001·Angiology·A F Rubio-GuerraN Trejo-Orozco
Feb 24, 2001·Blood Pressure·G Vargas-AyalaL M Ramos-Brizuela
Dec 4, 2019·Wiener klinische Wochenschrift·Thomas WeberUNKNOWN Österreichische Gesellschaft für Kinder- und Jugendheilkunde