Hypertensive crisis

Recognize

• Marked HTN with end-organ symptoms
• Headache, visual changes, chest pain

Act — tap each step

1. 1Oxygen 6–10 L/min by mask
2. 2Labetalol 20 mg IV slow over 2 min, may double q10 min
3. 3Or Nitroglycerin 0.4 mg SL tablet, may repeat q5–10 min ×3
4. 4Transfer to ED / monitored setting

Medications