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Management of hypertension in the ED

Management of hypertension in the ED. Danielle Nicolo. Problem. Patients present to ED with hypertension Patients treated with medication in ED Medicine team comes to admit patient and blood pressure still elevated. Hypertension refractory to oral meds or inadequately treated?

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Management of hypertension in the ED

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  1. Management of hypertension in the ED Danielle Nicolo

  2. Problem • Patients present to ED with hypertension • Patients treated with medication in ED • Medicine team comes to admit patient and blood pressure still elevated

  3. Hypertension refractory to oral meds or inadequately treated? Safe for floors? Need ICU? Medications? Time?

  4. Solution: ED/IM blood pressure task force • Meet with ED and form interdisciplinary team to form guidelines to treat hypertension

  5. Solution: ED/IM blood pressure task force • Meeting with ED residents and attendings • Define target patient population: malignant hypertension • Identify medications: check inventory • Formulate treatment plan

  6. Solution: treatment plan • Request certain oral medications be stocked in pyxis: • captopril 25mg • labetalol 200mg • hydralazine 25mg

  7. Future directions: treatment plan • ED residents requested guidelines for using oral medications

  8. Future directions • Follow up: Evaluate the effects of changes • Continue open communication with ED!

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