Emergency Hypertension 210/120 mmHg - page 3

So I for some reason am having such a tough time remembering the name of a medication! I had clinical and was looking at a pt's meds. There was one antihypertensive drug I've never heard of and is... Read More

  1. by   Esme12
    With the amount of drugs available today it is impossible to know and remember them all......could you call the facility where this patient was and ask what the drug was? They may have been discharged already. It is usually helpful to write the drugs down and not go by memory especially when you are starting out......I don't know if I have shared them with you or not but brain sheets are very helpful.


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  2. by   KelRN215
    Quote from tammy_zeidan09
    So I for some reason am having such a tough time remembering the name of a medication! I had clinical and was looking at a pt's meds. There was one antihypertensive drug I've never heard of and is RARELY used by the pt, which is why I don't remember it. It was a weird one, one with a long generic name. But it is indicated for emergency HTN for bp over 210/120 mmHg. I know this is so broad, but can anyone think of a antihypertensive that is commonly used for emergency HTN ?

    It isn't lisinopril,metoprolol, lotensin, propranalol...I googled some to try to refresh my memory but had not like..

    Maybe hydralizine? Has anyone heard of this treating emergency HTN or is it commonly used for general HTN



    Thankss
    Here's the thing... it's impossible for any of us to know. We can guess, but the only way to find out for sure would be to go back to this patient's chart. Facilities have different protocols and doctors within the same facility have different preferences for meds. At my old hospital, the medication would be hydralazine- that was our go to PRN for hypertension.
  3. by   flipflopgenna
    gave my patient hydralazine today for treating high blood pressure.
  4. by   tammy_zeidan09
    Thank you all! I know my question was so ridiculously broad! You've helped tons, I truly appreciate!
  5. by   sapphire18
    Cardene? (can't remember how to spell the generic.) who the heck would give a PO med for a BP >200?! lol
  6. by   turnforthenurse
    Quote from eCCU
    One med that stood out in CCU was clonidine cause all those pts always came back with severe htn ....duff not like that little pill...:-(
    that's because clonidine really needs to be ordered on a schedule, like TID, because it causes rebound HTN. I personally like clonidine, it works, I just hate it when physicians only want to order a one-time dose lol.

    Quote from sapphire18
    Cardene? (can't remember how to spell the generic.) who the heck would give a PO med for a BP >200?! lol
    My thought exactly lol
  7. by   tammy_zeidan09
    I GOT IT.

    It was amodipine Norvasc.

    =]
  8. by   hodgieRN
    Norvasc is definitely used for chronic hypertesion. Probably what happened was the pt got some IV medication that brought it down to more suitable level, and then was placed on Novasc as scheduled dose. But just FYI Norvasc isn't used in hypertensive emergencies. That would be Nipride IV, Cardene, IV, Labetolol IV, or PRN hydralazine. I suspect the Norvasc came later. I mean, I hope a pt presenting with a B/P of 210/120 wasn't simply given Norvasc. The poor guy could be stroking at any minute! Yikes! Just my thought....
  9. by   BostonFNP
    Quote from tammy_zeidan09
    So I for some reason am having such a tough time remembering the name of a medication! I had clinical and was looking at a pt's meds. There was one antihypertensive drug I've never heard of and is RARELY used by the pt, which is why I don't remember it. It was a weird one, one with a long generic name. But it is indicated for emergency HTN for bp over 210/120 mmHg. I know this is so broad, but can anyone think of a antihypertensive that is commonly used for emergency HTN ?

    It isn't lisinopril,metoprolol, lotensin, propranalol...I googled some to try to refresh my memory but had not like..

    Maybe hydralizine? Has anyone heard of this treating emergency HTN or is it commonly used for general HTN

    Thankss
    We use single dose hydalazine to rapidly reduce severe HTN. Given IV you can see a 20 pt drop in minutes. The half-life isn't long (3 hours) but the hypotensive effects persists up to 12 hours, or longer in some pts.

    Norvasc is a great antihypertensive but it doesn't lower BP enough to be use emergently.
    Last edit by BostonFNP on Nov 10, '12

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