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Hospitalist Med

Hospitalist

QuestionAnswer
Hypertensive urgency: dx criteria SBP > 180 or DBP > 120, w/o EOD
Hypertensive emergency: dx criteria SBP > 180 or DBP > 120 AND end organ damage (neuro, cardiac, renal, microangiopathic hemolytic anemia (MAHA), eclampsia
Hypertensive urgency: tx algorithm Lower bp in 24-48hr w/PO agents: 1. labetolol 200mg (esp in cva); 2. clonidine 0.2mg; 3. Captopril (if renal fn OK); 4. Hydralazine 10mg; 5. Nitropaste 1"
Hypertensive emergency: tx algorithm 1. labetolol (TOC in CVA); 2. nicardipine; 3. Nitro (good for ACS); 4. Nitroprusside (! cyanide tox if >24hr)
CHF: tx algorithm 111
Rising troponins in pt admitted to r/o MI: tx algorithm 111
HTN crisis tx: avoid labetolol in: CHF, brady, AV block
Agitation tx Haldol lactate: 2-5mg IM Q4-8hr prn; or 0.5-5mg PO BID-TID. ICU pt: 0.5-10mg IV, may rpt Q15-30min prn & titrate
Hypokalemia: dx testing = transtubular potassium gradient
VINDICATE (DDx) Vascular. Infection (or idiopathic). Neoplasm. Drugs. Inflammatory. Congenital / hereditary. Autoimmune. Trauma. Endocrine/metabolic
Created by: Abarnard