Action Stat: Hypertensive emergency
Michael W. Day MSN, RN, CCRN

August 2011 
Volume 41  Number 8
Pages 72 - 72
  PDF Version Available!

DURING PATIENT ROUNDS, one of your patients has a BP of 196/122 displayed on the automatic noninvasive BP monitor. Mr. H, 69 years old, was just admitted to your surgical unit following a laparoscopic cholecystectomy. He has a long-standing history of hypertension.Mr. H is complaining of shortness of breath. He's pale, diaphoretic, dyspneic, tachypneic, and tachycardic. You auscultate pulmonary crackles bilaterally; his SpO2 is 92% on supplemental oxygen at 2 L/minute via nasal cannula. His wife tells you he stopped taking his antihypertensive medications (metoprolol and furosemide) about a week before surgery because he didn't want his BP to get too low while he was in the hospital. You immediately obtain a manual BP of 190/122 in both arms, initiate a Rapid Response Team (RRT) alert, and continue to assess and support Mr. H's ABCs until the RRT arrives.Mr. H's severe elevation in BP (>180/120), associated with signs and symptoms of target organ dysfunction (possible acute left ventricular

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events