cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
A 52 y.o. female come into your office for a regular consultation, she is asymptomatic without complains background is not relevant! P/E BP: 250/120 HR:85 bpm R: 13 rpm no focal neurologic deficits the rest of P/E is not relevant. What´s your next step?
a) Start Sublingual captopril and refer to an ER
b) Start sodium nitroprusside
c) Send home and recheck on 2 weeks
d) Call the ambulance because she´s on a Hypertensive Emergency.
e) Send her to the hospital with no medication for re-evaluation.
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
a?
___________________
The Key to Succeed is Patience.
|
| sarika
Forum Guru
Topics: 195
Posts: 1,200
|
d
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
|
b?
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
I practiced medicine for 6 years and in my office option 1 is prefered.
___________________
The Key to Succeed is Patience.
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
she is asymptomatic, but BP is worrying...hmmm
the answer must be (a) or (b). this is a hypertensive URGENCY, since there seems to be no organ damage...but option (a) is more prudent when pointing to send her to the hospital ER on captopril. that´s why I choose (a). but B is a good option also.
my answer is (a)
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
B is practiced in hospital, not in your office.
___________________
The Key to Succeed is Patience.
|
| Naca
Forum Newbie
Topics: 1
Posts: 26
|
a is answer-becouse it is faster and handy.It is like when you have AIM.First step is always Aspirin.Board likes this questions.
b-is more complicate and takes time
c-is obviously not an answer
d-you probably won't call an ambulance without giving her anything and just waiting for the car?
e-again you must do something!
|
| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
|
A appears more appealing to me now. so i go with A.
___________________
It has been a looooong hard journey but I am inches away from my destination...
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
but she has no symptoms!!!!...
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
is a difficult choice to do with no symptoms right?....
|
| som
Forum Guru
Topics: 59
Posts: 308
|
obviously c,d,e are not the ans..so is it a or b? hmm..i go with B
|
| icemaiden
Forum Elite
Topics: 9
Posts: 117
|
B
|
| star1
Forum Guru
Topics: 93
Posts: 827
|
250/120 is not an emergency situation and need prompt attempt to normalize the BP so I think B seem to be correct.
|
| star1
Forum Guru
Topics: 93
Posts: 827
|
Sorry I did not write ???
mean its a high blood pressure
|
|
| |
| | | | | | | | | | | | | | | |
Similar forum topics