Table 11 BIHS position: Management of hypertension associated with acute pulmonary oedema.
From: Management of hypertensive crisis: British and Irish Hypertension Society Position document
Hypertensive emergency state | Acute pulmonary oedema |
|---|---|
Speed of BP reduction and BP targets | 1. Reduce BP not more than 25% reduction in MAP, while monitoring for hypoperfusion. |
2. Adequate analgesia and oxygenation are usually first steps. | |
3. All patients should have plans drawn for long term hypertension management (<140/90 mmHg prior to discharge). | |
Medications | IV GTN or IV nitroprusside along with a loop diuretic such as IV furosemide. CCBs and IV labetalol are best avoided in the acute phase. |
