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asmi
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03/07/04 - 09:48 PM       #1

what is the treatment ?

Medicine Guy
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03/08/04 - 02:59 AM       #2

It may affect virtually all organs, end organ damage.
So priority would be to control the blood pressure.

Treat the sequelae of malignant hypertension.

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usmleasr
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03/08/04 - 06:28 AM       #3

acute increase of B.P...treat immediately...i have seen cass...start with antihypertensives and reduce B.p with in 2 months to normal...

sublingual nifedipine can be used in acute setup...but don't reduce B.P to normal immediately..which may impair with perfusion..it has to be reduced but not to normal..
iv nitroprusside.., hydralazine can be used....basically it needs titration with constant monitering of B.P....add up points asmi

ll_112
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03/08/04 - 08:29 AM       #4

"Dr Robert James" wrote:
It may affect virtually all organs, end organ damage.
So priority would be to control the blood pressure.

Treat the sequelae of malignant hypertension.


what medicine should be administered?sodium nitroprusside?

asmi
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03/08/04 - 10:30 AM       #5

:arrow: intial goal is to reduce B.P by no more than 25%( with in 1 to 2 hrs) and then towards a level of 160/100 mmHg within 2 to 6 hrs .
:arrow: excessive reduction may pptate coronary ,cerebral and renal ischemia.....therefore use drugs that have a predictable,dose dependant ,transient and not precipitous antihypertensive effect .
:arrow: use of sublingual or oral fast acting nifidipine prep's is to be avoided .

:arrow: I.V. nitroprusside is DOC .
:arrow: in the presence of M.ischemia , nitroglycerine(I.V) ,labetalol or esmolol preferred .

ll_112
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03/10/04 - 08:39 PM       #6

"asmi" wrote:
: :arrow: I.V. nitroprusside is DOC .
.

sorry about my poor english.can you please tell me what do you mean by"DOC"?
thanks

Colombia
Forum Guru

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Posts: 438
03/10/04 - 08:47 PM       #7

Il-112
DOC means drug of choice grin

ll_112
Forum Newbie

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Posts: 9
03/11/04 - 03:41 AM       #8

"Colombia" wrote:
Il-112
DOC means drug of choice grin


grin
thanks.is it widely used in USA?









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