Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
27Activity
0 of .
Results for:
No results containing your search query
P. 1
Crisis of Hypertension Revised 1

Crisis of Hypertension Revised 1

Ratings:

5.0

(3)
|Views: 1,245|Likes:
Published by keenmunir
from Dr Atma Gunawan, Nephrologist
from Dr Atma Gunawan, Nephrologist

More info:

Published by: keenmunir on Jul 26, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PPT, PDF, TXT or read online from Scribd
See more
See less

04/24/2013

pdf

text

original

 
Management of hypertensive crisis
Atma GunawanConsultant of nephrology &hypertension
 
HYPERTENSIVE CRISIS- DBP >120 mmHg with the potential of inflicting irreparable damage to targetorgan and endangering patients lives
.-
JNC VII 2003 : ≥ 180/110
-
Recognition of hypertensive crisis depends on the clinical state of the patients,not on the absolute level of blood pressureForm : HYPERTENSIVE EMERGENCY and HYPERTENSIVE URGENCYMalignant hypertension
:
a syndrome characterized by elevated BP accompanied byretinal hemorrhages, exudates, or papilledema or acute nephropathy.
Accelerated hypertension :
malignant HT with hemorrhages and exudates alone 
Hypertensive encephalopathy
refers to the presence of signs of cerebral edema
DefinitionDefinition
JNC V (1993), JNC VII 2003.
CHEST 2007; 131:1949–1962)
Paul E. Marik, MD
 
Classification of hypertensive crisis
Hypertensive Urgency
Diastolic BP>120 mmHg, systolic BP>220
Mild or no acute end-organ damage
No clinical symptomsHypertensive Emergency
Usually diastolic BP>120 mmHg, systolicBP>220 mmHg
Acute end organ damage
Clinical symptoms is evident
Pregnant : ≥170/110 mmHg
Post-operative : >190/100 mmHg
(1997) Report of the Canadian Hypertension Society Consensus Conference: 3.Pharmacologic treatment of hypertensive disorders in pregnancy.
Can Med  Assoc J 
 
157
,1245-1254

Activity (27)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
eeqbauk liked this
putriw_7 liked this
Feby Polymorpa liked this
Afdhalun Hakim liked this
meliani.fitri liked this
Ronald David M liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->