A 71-year-old male presents with headache, dizziness, nausea with palpitations. The patient is already on treatment for diabetes and hypertension. The blood pressure reading is 220/140 mmHg. Which of the following statements is/are correct? 1. This is a case of hypertensive emergency which can be managed by intravenous sodium nitroprusside. 2. An immediate normalization of the blood pressure should be the target. 3. Secondary causes of hypertension like renovascular disease are uncommon in patients with hypertensive emergency. Select the answer using the code given below:
1 only
Severe BP with end-organ symptoms is hypertensive emergency, managed with IV agents like sodium nitroprusside (statement 1 correct). BP should be lowered gradually (by ~25% in first hour), not normalized immediately (statement 2 false). Secondary causes like renovascular disease are actually relatively common in hypertensive emergencies, not uncommon (statement 3 false). Hence only statement 1 is correct.
Important Questions from Hypertension
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- Drug of choice for treating hypertensive emergency in a case of Aortic dissection is:
- The preferred anti hypertensive drug for a 74 year old male with benign prostatic hypertrophy is:
- The following are features of polycythaemia vera EXCEPT:
