5882 results
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
≥130 or DBP ≥ 90 ... severe HTN • Diagnosed ... • First diagnosed ... Often not an exact diagnosis ... #differential #diagnosis
Orthostatic Hypotension - Management Algorithm
Diagnosis of Orthostatic Hypotension: 
 - Drop in SBP 20mmHg or in
Management Algorithm Diagnosis ... : - Drop in SBP ... 20mmHg or in DBP ... 10mmHg, OR - SBP ... OR - upright SBP
Passive Leg Raise as a Substitute for CVP
Δ pulse pressure (i.e. SBP-DBP) 2 9% is indicative
SBP-DBP) 2 9% is ... LegRaise #PLR #diagnosis
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... 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
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... patient’s absolute SBP ... and DBP. ... Differential Diagnoses ... #Differential #Diagnosis
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(SBPDBP ... ) or MAP = DBP ... + 2 (DBP) = 82 ... – DBP) + DBP =