Round 23 (High Blood Pressure)

Summary: <br> CAUTION: THESE NOTES CONTAIN SPOILERS!!<br> <br> <br> <br> Case Introduction<br> <br> <br> <br> You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure. <br> <br> <br> <br> Initial Vitals<br> <br> <br> <br> * Temp 98.0F* HR 90* RR 18* BP 220/120* O2 98%<br> <br> <br> <br> Critical Actions<br> <br> <br> <br> * Perform thorough neurological exam (and find papilledema)* Diagnose Hypertensive Emergency* Start anti-hypertensive drip (usually Nicardipene)* Recheck patient’s blood pressure after intervention* Admit to ICU<br> <br> <br> <br> Further Reading<br> <br> <br> <br> <a href="https://emcrit.org/wp-content/uploads/2016/11/HTNv3.pdf">Hypertensive Emergency (EMCrit)</a><br> <br> <br> <br> <br>