X tr tng huyt p cp cu : cc thuc ng tnh mch

Thuc Liu
Khi pht/Thi
gian tc dng
Tc dng ph Ch nh
Nitroprusside
0,25-10mg/kg/pht Ngay lp
tc/2-3 pht sau
khi truyn
Bun nn, nn i;
dng lu di gy ng
c cyanide, metHb
H van ng mch
ch, h van 2 l,
phu thut tim.
Nitroglycerin 5-100mg/pht 2-5pht/5-
10pht
Nhc u, mt,
nhp tim nhanh, metHb
Nhi mu c tim,
cn au tht ngc.
Nicardipin
Tim mch 1mg/pht
trong 10 pht (10mg).
Duy tr 0,5-2mg/gi
ty tnh trng bnh
nhn.
1-5pht/15-30
pht ; c th n
12 gi nu
truyn lu di
Nhp tim nhanh, nn
i, nhc u, khng
gy tng p lc ni s
Labetalol
Bolus tnh mch
1mg/kg trong 10 pht,
c th lp li thm 1
ln .
Duy tr
0,1mg/kg/gi trong
8-12 gi.
5-10pht/2-
6gi
Co tht ph qun,
block tim, tt huyt p
t th
Tai bin mch mu
no.
2. X tr tng huyt p khn trng :
- C th s dng n c hay phi hp cc thuc sau ty tnh trng bnh nhn.
S 2:
X tr tng huyt p khn trng : cc thuc ng ung
Thuc Liu Khi pht/thi gian tc dng Thn trng
Captopril
25mg ung hay ngm
di li, lp li nu cn
Ung :15-30pht/6-8gi
Ngm:15-30pht/2-6gi
Tt huyt p, suy thn
vi hp ng mch thn
2 bn.
Clonidine 0,1-0,2mg, lp li mi
gi nu cn n tng liu
0,6mg
30-60 pht/8-16gi Tt huyt p, ng g,
kh ming
Labetalol 200-400mg lp li mi
2-3gi
30pht-2gi-12gi Co tht ph qun, block
tim, tt huyt p t th
Prazosin 1-2mg lp li mi gi
nu cn
1-2gi/8-12gi Ngt (liu u) , hi
hp, nhp tim nhanh, tt
huyt p t th
Nifedipin 10mg lp li nu cn 15-30pht Bnh mch vnh, tai
bin mch mu no
3. Cn tng HA khng phi cp cu v khng phi khn trng (acute hypertensive episode non
emergency/non urgency):
- iu tr nh tng huyt p thng thng.
4. Tng HA thong qua (transient hypertension): theo di