Emergency Hypertension 210/120 mmHg

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  1. This is a discussion on Emergency Hypertension 210/120 mmHg in Nursing Student Assistance, part of Nursing Student ... So I for some reason am having such a tough time remembering the name of a medication! I had...

    by Oct 31, '12
    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



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    by tammy_zeidan09 Oct 31, '12 5:21 am
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  3. 21 Comments so far...

  4. Oct 31, '12 by
    Was it Catapres (clonidine)?
  5. Oct 31, '12 by
    Nitropress is given in a hypertensive crisis by IV. What it that?
  6. Oct 31, '12 by
    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!!
  7. Oct 31, '12 by
    Labetalol,Phenoxybenzamine,Hyzaar.
  8. Asst. Admin
    Oct 31, '12 by
    PO or IV?
  9. Oct 31, '12 by
    Labetalol was the first drug that came to mind for me
  10. Oct 31, '12 by
    Nitroprusside? Hydralazine isn't the best choice because of its long half-life and delayed initial action.
  11. Asst. Admin
    Oct 31, '12 by
    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
  12. Oct 31, '12 by
    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?