National Nursing Review : Nursing Study Resources & Health Tips » Hypertensive Urgency http://nationalnursingreview.com Tue, 22 May 2012 13:59:42 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 Difference between urgency and hypertensive emergency http://nationalnursingreview.com/2009/11/difference-between-urgency-and-hypertensive-emergency/ http://nationalnursingreview.com/2009/11/difference-between-urgency-and-hypertensive-emergency/#comments Sun, 01 Nov 2009 16:41:11 +0000 admin http://nationalnursingreview.com/?p=187 Many a time we only confused with the signs and symptoms of a patient in hypertension.
Here is a quick way to differentiate which is which. We must first know the difference between each of these:
Hypertensive emergency: the size and increase in the PA or the circumstances in which hypertension occurs, it implies a life-threatening or serious organ damage that requires immediate control in minutes or hours.
Hypertensive Urgency: PA up to be checked quickly (days to weeks). In this situation, high BP is a potential risk, but has not yet caused severe organ damage. And we add a third concept that leads to let you monitor a patient.
Severe hypertension: high BP has not yet resulted in significant damage to the target organs. In these patients, hypertension does not necessarily require treatment in IBS, but requires strict medical supervision and long term.


Now we differentiate:
Hypertensive Emergency:

  • Hypertension associated with:
    • Acute left ventricular failure
    • Acute coronary insufficiency
    • Dissecting aortic aneurysm
    • Severe hypertension more acute
      nephritic syndrome
    • Scleroderma renal crisis
    • Microangiopathic hemolytic anemia


    • Intracranial hemorrhage
      • Subarachnoid hemorrhage
      • Cerebral hemorrhage
    • Arterial surgery sutures
  • Hypertensive encephalopathy
  • Eclampsia
  • Pheochromocytoma in hypertensive crisis and further increases in catecholamines
  • Hypertensive crisis post:
    • Abrupt withdrawal of clonidine
    • Food and Drug Interactions with MAO inhibitors
    • Cocaine
  • Severe hypertension after emergency surgery or in the immediate postoperative
  • Hypertension with DBP> 130 mm Hg uncomplicated
  • Hypertension associated with:
  • Heart failure without EPA
  • Stable angina
  • Stroke

Hypertensive Urgency

  • Severe hypertension in transplant patients
    - Hospital emergency management:

    • Malignant hypertension
    • Pre-eclampsia with DBP> 110 mm Hg
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