Round 23 (High Blood Pressure)
EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD
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CAUTION: THESE NOTES CONTAIN SPOILERS!! Case Introduction You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure. Initial Vitals * Temp 98.0F* HR 90* RR 18* BP 220/120* O2 98% Critical Actions * Perform thorough neurological exam (and find papilledema)* Diagnose Hypertensive Emergency* Start anti-hypertensive drip (usually Nicardipene)* Recheck patient’s blood pressure after intervention* Admit to ICU Further Reading Hypertensive Emergency (EMCrit)
