Emergency Hypertension 210/120 mmHg

  1. 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
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  2. 21 Comments

  3. by   jmdRN
    Was it Catapres (clonidine)?
  4. by   kansasredneckwomen
    Nitropress is given in a hypertensive crisis by IV. What it that?
  5. by   sjonesrn
    I have done ER nursing for 13 years, Hydralazine is used often in HTN crisis. Go back and ask the doc..that way you know for sure and can look it up. Good luck. Years ago we used procardia as htn crisis often goes hand in hand with pulmonary HTN. Good Luck!!
  6. by   iluvivt
    Labetalol,Phenoxybenzamine,Hyzaar.
  7. by   Esme12
    PO or IV?
  8. by   Happy2beICU-RN
    Labetalol was the first drug that came to mind for me
  9. by   nurseprnRN
    Nitroprusside? Hydralazine isn't the best choice because of its long half-life and delayed initial action.
  10. by   Esme12
    I don't know.....if the patient is giving it....it wouldn't be Nipride

    I think of.....metoprolol, Labetalol and other beta blockers, verapamil, procardia SL and other ca channel blockers, enalapril and other ACE inhibitiors. Hydralazine for use in pregnant patients, phentolamine (again only IV) is the drug of choice for a pheochromocytoma crisis.

    I have no idea....heck nito will work
  11. by   ßåߥ
    nitrate/nitroglycerin? You put it under the tongue, 3 times 5 minutes apart. It can be used to treat angina or a heart attack which causes high blood pressure?
  12. by   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...:-(
  13. by   Esme12
    Quote from SUNFL0WER
    nitrate/nitroglycerin? You put it under the tongue, 3 times 5 minutes apart. It can be used to treat angina or a heart attack which causes high blood pressure?
    I think she was asking about Sodium Nitropresside.....Nipride
    Nitropress is given in a hypertensive crisis by IV. What it that?
    Sodium nitroprusside (Abbreviated SNP, brand name: Nitropress) has potent vasodilating effects in arteries and veins (veinsmore than arteries, but this selectivity is much less marked than that of nitroglycerin).It is administered intravenously in cases of acute hypertensive emergency. SNP breaks down in circulation to release nitric oxide (NO) and the metabolite thiocyanate....cyanide.


    In the human heart, nitric oxide reduces both total peripheral resistance as well as venous return, thus decreasing both preload and afterload. For this reason, it can be used in severe cardiogenic heart failure where this combination of effects can act to increase cardiac output. In situations where cardiac output is normal, the effect is to reduce blood pressure.


    Nitroprusside (Nipride ) -* Intravenous (IV) Dilution
    IV Critical Care Infusion Drip Chart
  14. by   tammy_zeidan09
    I'm really thinking it's hydtalizine. It was PO. And I mean it was def prn for htn crisis. 210/120 mmHG. Ugh I wish I can go back and look at his charts!

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