This review outlines the evaluation and pharmacological management of hypertensive emergencies and urgencies, emphasizing appropriate agent selection based on clinical manifestations.
Supports tailored agent selection in hypertensive emergencies; leaves open need for updated RCTs on comparative outcomes.
Hypertensive emergencies and hypertensive urgencies represent a large percentage of major medical emergencies and have the potential of producing serious organ damage or death if not treated promptly and selectively. Several classifications of antihypertensive agents are discussed, with emphasis on selecting agents appropriate for patients' hypertension manifestations and comorbid situations. Epidemiology and evaluation of hypertension, as well as common pharmacokinetics of several common and new oral and parenteral antihypertensive agents, are described. Special nursing considerations of medication administration and gerontology concepts are included.
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Rosenow et al. (2001) studied this question.
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