CAUTION: THESE NOTES CONTAIN SPOILERS!!
You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure.
- Temp 98.0F
- HR 90
- RR 18
- BP 220/120
- O2 98%
- Perform thorough neurological exam (and find papilledema)
- Diagnose Hypertensive Emergency
- Start anti-hypertensive drip (usually Nicardipene)
- Recheck patient’s blood pressure after intervention
- Admit to ICU