Hypertensive urgency
Revision as of 02:27, 29 August 2015 by Rossdonaldson1 (talk | contribs)
- Do not use this diagnosis, see asymptomatic hypertension
Background
- Elevation in BP without acute end-organ damage
Diagnosis
Differential Diagnosis
Hypertension
- Hypertensive emergency
- Stroke
- Sympathetic crashing acute pulmonary edema
- Ischemic stroke
- Intracranial hemorrhage
- Preeclampsia/Eclampsia
- Autonomic dysreflexia
- Scleroderma renal crisis
- Acute glomerulonephritis
- Type- I myocardial infarction
- Volume overload
- Urinary obstruction
- Drug use or overdose (e.g stimulants, especially alcohol, cocaine, or Synthroid)
- Renal Artery Stenosis
- Nephritic and nephrotic syndrome
- Polycystic kidney disease
- Tyramine reaction
- Cushing's syndrome
- Obstructive sleep apnea
- Pheochromocytoma
- Hyperaldosteronism
- Hyperthyroidism
- Anxiety
- Pain
- Oral contraceptive use
Treatment
- Unnecessary in ED
- Consider beginning outpt tx if BP >180/100
Outpatient Therapy
- Hydrochlorothiazide 25mg PO qday
- If already on diuretic:
- CAD - Beta blocker
- CHF - Lisinopril 10mg daily
- RF - Lisinopril 10mg daily
- DM - Lisinopril 10mg daily