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Management of hypertensive emergency and urgency.
Adv Emerg Nurs J. 2011 Apr-Jun; 33(2):127-36.AE

Abstract

Severe hypertension is a frequent condition among patients presenting to emergency departments. Historically, this has been referred to as a hypertensive crisis. In addition, these hypertensive crises have been further divided into either hypertensive emergencies or urgencies depending on the presence or absence of target organ damage, respectively. The management differs between these crises in both the rapidity of blood pressure correction and the medications used. Hypertensive emergencies must be treated immediately with intravenous antihypertensive medications. However, hypertensive urgencies may be treated with oral antihypertensive agents to reduce the blood pressure to baseline or normal over a period of 24-48 hr. Appropriate identification, evaluation, and treatment of these conditions are of great importance in the emergency department to prevent progression of organ damage and death. The purpose of this article is to provide an overview of the hypertensive crises and their management.

Authors+Show Affiliations

Department of Pharmaceutical Services, Emory University Hospital, Atlanta, Georgia 30322, USA. derek.polly@emoryhealthcare.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21543908

Citation

Polly, Derek M., et al. "Management of Hypertensive Emergency and Urgency." Advanced Emergency Nursing Journal, vol. 33, no. 2, 2011, pp. 127-36.
Polly DM, Paciullo CA, Hatfield CJ. Management of hypertensive emergency and urgency. Adv Emerg Nurs J. 2011;33(2):127-36.
Polly, D. M., Paciullo, C. A., & Hatfield, C. J. (2011). Management of hypertensive emergency and urgency. Advanced Emergency Nursing Journal, 33(2), 127-36. https://doi.org/10.1097/TME.0b013e318217a564
Polly DM, Paciullo CA, Hatfield CJ. Management of Hypertensive Emergency and Urgency. Adv Emerg Nurs J. 2011 Apr-Jun;33(2):127-36. PubMed PMID: 21543908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of hypertensive emergency and urgency. AU - Polly,Derek M, AU - Paciullo,Christopher A, AU - Hatfield,Chad J, PY - 2011/5/6/entrez PY - 2011/5/6/pubmed PY - 2011/8/17/medline SP - 127 EP - 36 JF - Advanced emergency nursing journal JO - Adv Emerg Nurs J VL - 33 IS - 2 N2 - Severe hypertension is a frequent condition among patients presenting to emergency departments. Historically, this has been referred to as a hypertensive crisis. In addition, these hypertensive crises have been further divided into either hypertensive emergencies or urgencies depending on the presence or absence of target organ damage, respectively. The management differs between these crises in both the rapidity of blood pressure correction and the medications used. Hypertensive emergencies must be treated immediately with intravenous antihypertensive medications. However, hypertensive urgencies may be treated with oral antihypertensive agents to reduce the blood pressure to baseline or normal over a period of 24-48 hr. Appropriate identification, evaluation, and treatment of these conditions are of great importance in the emergency department to prevent progression of organ damage and death. The purpose of this article is to provide an overview of the hypertensive crises and their management. SN - 1931-4493 UR - https://www.unboundmedicine.com/medline/citation/21543908/Management_of_hypertensive_emergency_and_urgency_ DB - PRIME DP - Unbound Medicine ER -