Bulk Suggestion Bulk ID: sabicool/12.11.24-06:47AM
Rejected at: Jan, 27, 2025 10:23 a.m.
Author: sabicool
Related Deck: 1675118865074
Rejected
Rationale for new note

various cards on various topics

Rejection reason

Formatting needs fixing on this card

Text
What is the preferred pharmacological management for hypertensive emergency due to an aortic dissection?

{{c1::β-blocker (preferably esmolol) slowly until pulse 60-80bpm}}
{{c1::± IV infusion of sodium nitroprusside or glyceryl trinitrate::if refractory}}
Extra
Use an intravenous infusion of a beta blocker to slowly reduce the heart rate to below 60 beats per minute, followed by an intravenous infusion of sodium nitroprusside or glyceryl trinitrate, titrating the dose to achieve a systolic BP of around 100 mmHg. It is important to give a beta blocker before giving a vasodilator, as tachycardia can occur if the vasodilator is given first.

Sodium nitroprusside or GTN infusion should be given with ICU level care and intra-arterial BP monitoring
Personal Notes
Empty field
Missed Questions
Empty field
Oxford Handbook
Empty field
First Aid
Empty field
AMBOSS
Empty field
eTG Complete


Talley & O'Connor
Empty field
Additional Resources
Empty field
Source
eTG - Urgent control of elevated blood pressure https://tgldcdp.tg.org.au/viewTopic?etgAccess=true&guidelinePage=Cardiovascular&topicfile=c_CVG_Urgent-control-of-elevated-blood-pressuretopic_1&guidelinename=auto&sectionId=c_CVG_Urgent-control-of-elevated-blood-pressuretopic_1#c_CVG_Urgent-control-of-elevated-blood-pressuretopic_1 Published June 2023, Accessed 19 October 2024

FRCEM AFTBAFFF, FFSEM MCMMbcF, FACEM ACMMc. Marshall & Ruedy’s On Call: Principles & Protocols. 3rd edition. Elsevier; 2016. 648 Chapter 16: Chest Pain p. 117

Emergency Care Institute Aortic Dissection https://aci.health.nsw.gov.au/networks/eci/clinical/tools/cardiology/aortic-dissection
One by one
Empty field
Tags
#Malleus_CM::#eTG_Complete::Cardiovascular::Blood_pressure_reduction::Urgent_control_of_elevated_blood_pressure #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Cardiology #Malleus_CM::#Resources_by_Rotation::Surgery::Vascular #Malleus_CM::#Subjects::Cardiology::13_Vascular_Pathology::Aorta::Aortic_Dissection::10_Management #Malleus_CM::#Subjects::Surgery_&_EM::05_Vascular_Surgery::01_Arterial_Disease::Aortic_Dissection::10_Management #Malleus_CM::#Textbooks::05_Marshall_&_Ruedy's_On_Call:_Principles_&_Protocols_ANZ_3e::Section_C_Common_Calls::16_Chest_pain #Malleus_CM::#Textbooks::05_Marshall_&_Ruedy's_On_Call:_Principles_&_Protocols_ANZ_3e::Section_C_Common_Calls::19_Hypertension