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Hypertensive Disorders of Pregnancy
Chronic Hypertension:
• Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
•

≥130 or DBP ≥ 90 ... ≥ 140 or DBP ≥ ... ≥ 140 or DBP ≥ ... ≥ 160 or DBP ≥ ... diagnosis so have high clinical

Indications for tPA in Stroke:
• Clinical diagnosis of ischemic stroke
• Measurable neurologic deficit
•

in Stroke: • Clinical ... or aneurysm • SBP ... > 185mmHg or DBP

Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage:
SBP < 140 -

Hemorrhage: SBP ... < 185, DBP < 110 ... < 180, DBP < 105 ... >220 or DBP > 120 ... (SBP>70-90, MAP

Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
- Goal SBP <185 AND

for tPA: - Goal SBP ... <185 AND DBP <110 ... Hypertension: Goal SBP ... <220 AND DBP <120

Blood Pressure Targets in Hypertensive Crisis

Timeline:
1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg
2-6

25%, Maintain DBP ... Titrate To Goal SBP ... 160 mmHg & DBP ... hours: Maintain SBP ... <160 mmHg & DBP

Mean arterial pressure (MAP)

A common method used to estimate the MAP is the following formula:
* MAP

formula: * MAP = DP ... + 1/3(SP – DP) ... or * MAP = DP ... 1/3(PP) Where DP ... #dbp #perfusion

Mean Arterial Pressure (MAP)

Average arterial pressure throughout one cardiac cycle, systole, and diastole.
Surrogate indicator of

) = DBP ... + 1/3(SBP – DBP ... ) or MAP = DBP ... + 2 (DBP) = 82 ... – DBP) + DBP =

Orthostatic Hypotension - Management Algorithm
Positive orthostatic vital signs defined as one of the following (within 3

standing): - ↓ SBP ... 20 mm Hg - ↓ DBP

Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial

Bacterial Peritonitis (SBP ... SBP. ... #Peritonitis #SBP ... Abdominal #POCUS #clinical

Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt

Px: High or low BP ... deficit, Bilat BP ... 300mcg/kg/min 3) SBP ... arm with higher BP

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