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Hypertensive emergency (hospital)
Hypertensive emergency (hospital) · ICD-10: I16.1
Drugs and regimens
Clevidipine⚠ Unverified
Blood pressure reduction when oral therapy is not feasible — start 1–2 mg/h; usual maintenance 4–6 mg/h
Esmolol⚠ Unverified
Perioperative tachycardia and hypertension — 50–200 mcg/kg/min
Hydralazine⚠ Unverified
Severe hypertension (when oral not possible) — 20–40 mg IV or IM, repeat as needed
Labetalol⚠ Unverified
Severe hypertension — 20 mg slow IV over 2 min, then 40–80 mg every 10 min
Nicardipine (IV)⚠ Unverified
Severe hypertension when oral therapy is not feasible — start 5 mg/h, max 15 mg/h
Sodium nitroprusside⚠ Unverified
Hypertensive crisis, acute heart failure, controlled hypotension — start 0.3 mcg/kg/min, max 10