By ULY CLINIC

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Severe hypertension

 

Introduction

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Severe hypertension is Blood Pressure (BP) of 160/110 mmHg or higher. Admit the patient to hospital until blood pressure is 159/109 mmHg or lower 

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• Hydralazine 10mg IV start; recheck the BP after 20 minutes if DBP is more/equal to  110mmHg give another dose of 5–10mg hydralazine IV.

AND

• Methyldopa 500mg (PO) 8 hourly 

OR 

• Nifedipine 20mg (PO) 12 hourly 

THEN 

• Labetalol tabs 100mg (PO) twice a day 

 

Referral

 

Refer to the next level in case there is no improvement 

 

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Updated on, 3.11.2020

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References

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1. STG