Thursday, February 25, 2021

hypertensive meds

BP AIM:

BP for all hypertension pt: <140/90mmHg

BP for diabetics with nephropathy/ CKD/ IHD: < 130/80mmHg 

Hypertensive emergencies:

1. Aortic dissection: lower to<120/80, HR<60 in 1 hour

2. Hypertensive emergency: to lower 25% in first hour, and lower to 160/100 in 2nd to 6th hour, and normalise within 24-48 hours

3. Hypertensive urgency: to rest 30 minutes and repeat up to 2 hours, if doesnt decrease,  then lower BP 10-25% in 24hours not lower than 160/100mmHg. (captopril/nifedipine/labetalol)




Reference:

https://www.moh.gov.my/moh/resources/penerbitan/CPG/MSH%20Hypertension%20CPG%202018%20V3.8%20FA.pdf

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