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Hypertensive Emergucation – Part II

  To continue on the ranty but too lengthy exposition of IV blood pressure lowering… Where else does hypertensive emergency get invoked, in my opinion, inappropriately? Let’s continue and go through our top 4 sources of end organ damage so we can see what therapies are indicated: Heart! In association with angina and ACS, the […]

Hypertensive Emergucation – Part I

Overhead: “Level 1 triage coming in to Trauma-B” Me: “Who’s in triage? What are they sending?” Charge RN: “It’s a tachycardic emergency.” Me: “Um, but what is it? What are they here for?” Charge RN: “I just told you! HR was 146.  EMS gave Lopressor x 2 with no relief.” Me: “…” (head explodes- triaged as […]