DOC for hypertensive emergency

10/13/2014 9:44:29 AM
hi,

i did nbme 6 today n i was wondering if anyone knows what is the ans for this particular question..
62 yr old female brought with 2 days h/o fatigue and 1 hr h/o confusion,headache.no nausea, vomiting,fever. k/c/o HTN for 6 yrs on hydrochlorothiazide and lisinopril. bp -250/135, b/l papilledema+, clear lungs, S4 is present.ecg- lvh with strain pattern.initial pharmacotherapy? options are

clonidine, hydralazine, nitroglycerin, nitroprusside, nifedipine

i answered nitroglycerin and that is wrong.


10/15/2014 4:51:04 AM
Hi, it should be nitroprusside. nitroglycerine is antianginal.
edited by on 10/15/2014


10/15/2014 4:57:51 AM
thank u


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