Malignant hypertension medical therapy: Difference between revisions
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{{Malignant hypertension}} | {{Malignant hypertension}} | ||
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==Overview== | |||
The most commonly used intravenous drug is [[nitroprusside]]. An alternative for patients with renal insufficiency is intravenous [[fenoldopam]]. [[Labetalol]] is another common alternative, providing easy transition from IV to oral (PO) dosing. Beta-blockade can be accomplished intravenously with [[esmolol]] or [[metoprolol]]. [[Hydralazine]] is reserved for use in pregnant patients, while [[phentolamine]] is the drug of choice for a [[pheochromocytoma]] crisis. iv sodium nitroprusside should be used with caution as it can cause a rapid uncontrollable drop in blood pressure. | |||
====Contraindicated medications==== | |||
{{MedCondContrAbs | |||
|MedCond = Malignant hypertension|Warfarin| | |||
}} | |||
==References== | ==References== | ||
Latest revision as of 18:46, 5 September 2014
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Malignant hypertension Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Malignant hypertension medical therapy On the Web |
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American Roentgen Ray Society Images of Malignant hypertension medical therapy |
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Risk calculators and risk factors for Malignant hypertension medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The most commonly used intravenous drug is nitroprusside. An alternative for patients with renal insufficiency is intravenous fenoldopam. Labetalol is another common alternative, providing easy transition from IV to oral (PO) dosing. Beta-blockade can be accomplished intravenously with esmolol or metoprolol. Hydralazine is reserved for use in pregnant patients, while phentolamine is the drug of choice for a pheochromocytoma crisis. iv sodium nitroprusside should be used with caution as it can cause a rapid uncontrollable drop in blood pressure.
Contraindicated medications
Malignant hypertension is considered an absolute contraindication to the use of the following medications: