Round 23 (High Blood Pressure)

CAUTION: THESE NOTES CONTAIN SPOILERS!!











Case Introduction











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.











Initial Vitals











* Temp 98.0F* HR 90* RR 18* BP 220/120* O2 98%











Critical Actions











* 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











Further Reading











Hypertensive Emergency (EMCrit)