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hypertensive ER

QuestionAnswer
Sodium nitroprusside Most hypertensive ER; caution with high intracranial pressure or azotemia
Most hypertensive ER, except acute HF Nicardipine, Labetalol, Fenoldopam
Coronay ischemia Nitroglycerin
Acute left ventricular failure, avoid in acute MI Enalaprilat
Eclampsia Hydralazine
When no intensive monitoring available Diazoxide
Aortic dissection, perioperative Esmolol
Catecholamine excess Phentolamine
Vasodilators that are used in hypertensive emergencies Sodium nitroprusside, Nicardipine, Fenoldopam mesylate
Drug used in HTN ER causing Side effects of thiocyanate and cyanide intoxication sodium nitroprusside
S/E of sodium nitroprusside Nausea, vomiting, muscle twitching, sweating, thiocynate and cyanide intoxication
Drug causes methemoglobinemia Nitroglycerin
Drug causes precipitous fall in pressure in high-renin states enalaprilat
S/E of labetolol vomiting, scalp tingling, burning in throat, dizziness, nausea, heart block, orthostatic hypotension
s/e of Esmolol HOTN, nausea
s/e Phentolamine tachycardia, flushing, headache
s/e diazoxide nausea, flushing, tachycardia, chest pain
s/e hydralazine tachycardia, flushing, headache, vomiting, aggravation of angina
s/e enalaprilat precipitous fall in pressure in high-renin states, response variable
s/e nitroglycerine headache, vomiting, methemoglobinemia, tolerance with prolonged use
s/e of fenoldopam tachycardia, headache, nausea, flushing
s/e of nicardipine tachycardia, headache, flushing, local phlebitis
s/e of sodium nitroprusside nausea, vomiting, muscle twitching, sweating, thiocyanate and cyanide intoxication
Created by: xuanhuynhkim
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