HYPERTENSIVE CRISES (EMERGENCY AND URGENCY) TREATMENT, HYPERTENSIVE EMERGENCY MANAGEMENT ALOGRITHAM

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  • Опубликовано: 23 дек 2024

Комментарии • 148

  • @maihassan2725
    @maihassan2725 Год назад +58

    what i've learned from this video:
    1- hypertension is when systolic blood pressure is more than 180mmHg or diastolic blood pressure is more than 120mm Hg
    2- if there's end organ damage, it's hypertensive emergency , if the end organ damage is absent, it's hypertensive urgency
    3- treatment of hypertensive urgency : control reduction of blood pressure. blood pressure is reduced over days not hours to prevent stroke which can be caused by sudden drop in blood pressure
    no ideal hypotensive but use oral atenolol along with bed rest
    4- treatment of hypertensive emergency: either give iv labetalol 50mg iv over 1 min and repeat every 5 mins max dose is 200 mg or five sodium nitroproside infusion to control blood pressure
    5- never use sublingual nifedipine to reduce blood pressure as rapid drop in blood pressure can cause stroke

    • @amanimduma9867
      @amanimduma9867 10 месяцев назад +1

      Nice summary

    • @iffatfatima5963
      @iffatfatima5963 4 месяца назад +4

      Hypertension grade 1 starts from 140/90..180/120 is hypertensive crisis which is an emergency situation

  • @ganga7472
    @ganga7472 2 года назад +2

    When he starts with ..." Okay"🤩

  • @amirmuhammed2065
    @amirmuhammed2065 2 года назад +2

    Your all videos are a great help for us , they way you present and the stuff all are very nice precise and wisely chosen, thanks v.much 😊

  • @photon77
    @photon77 2 года назад +19

    Thanks sir
    Only clinical stuff 🔥 no deep theory like other boring videos.
    👍👍👍

  • @sageagnes8947
    @sageagnes8947 7 месяцев назад

    THANKS ALOT🙏🙏GOD BLESS YOU, I WAS HERE STRUGGLING TO REDUCE MY SISTERS' BP WHICH IS 200/140, THE VIDEO HAS HELPED ME ALOT!!!

  • @missionmbbs-ng8lq
    @missionmbbs-ng8lq 27 дней назад

    Very well explained, short and comprehensive. Thank you!

  • @Sulphite9999
    @Sulphite9999 9 месяцев назад +1

    JazakAllah sir
    Very well explained ❤

  • @mayuribanda2547
    @mayuribanda2547 Год назад +1

    Easy understandable. Thanks for making simpler.

  • @abhaykairati7067
    @abhaykairati7067 3 года назад +5

    Sir please make vedio on dose titration in both diebetes and blood pressure

  • @stanleyringa6178
    @stanleyringa6178 3 года назад +3

    Thank you for your efforts sir 🙏

  • @dr_amreen87
    @dr_amreen87 2 года назад +3

    Amazing classes👌🏻👌🏻👌🏻👌🏻

  • @aayushisonkar2337
    @aayushisonkar2337 3 года назад +2

    Omg…… I’m super impressed!! Sir you are indeed an amazing teacher…..😅😅🤩🤩

  • @puneetyadav4719
    @puneetyadav4719 2 года назад +29

    Sir,i watched this video for HTN crisis management by IV NTG ,but unfortunately you didn't mentioned that.I have managed so many cases of HTN emergency with Labetalol and esmolol by iv bolus doses.I wanted to know the difference between both management procedures also.

    • @Shin_Si
      @Shin_Si 2 года назад +42

      Labetalol is a beta blocker ,when pt comes with hypertensive pulmonary edema there labetalol becomes contraindicated as it causes bronchospasm , whereas here iv NTG becomes drug of choice in this case,... So it's not about which anti htn to be used but any drug will have side effects n every case is different so u did not necessarily need to use one same drug for all the htn emergency cases

    • @puneetyadav4719
      @puneetyadav4719 2 года назад +8

      @@Shin_Si Thank you Ma'am

    • @gautamsinghv5541
      @gautamsinghv5541 Год назад

      Iv ntg and sod nitroprusde infusions rate??

    • @Little-v2x
      @Little-v2x 11 месяцев назад +1

      ​@@gautamsinghv5541BP will decide I think? 🤔

    • @sanketmali8038
      @sanketmali8038 Месяц назад

      Not due to bronchospasm but because it can worsen heart failure symptoms as it will decrease cardiac contractility so to be avoided​ in acute settings @@Shin_Si

  • @divyateza3381
    @divyateza3381 2 года назад +3

    Nice explanation sir..ty so much for making topics easy to understand 😊

  • @Adityachoudhary01404
    @Adityachoudhary01404 10 месяцев назад +1

    Sir your start with okay is very cool😅😅

  • @rawezha.hassan3478
    @rawezha.hassan3478 2 года назад +14

    Sir , explained well and if you don’t mind please are you able to discuss all drug dosages and route of administration in your next videos ¿ it will be appreciated ,,, thanks in advance

    • @Smnkar0
      @Smnkar0 2 года назад +3

      In ur videos please include dose

  • @IvanArsovski
    @IvanArsovski 2 года назад +1

    Awesome video, clear and short, thank you!

  • @lemonsvlog4762
    @lemonsvlog4762 2 года назад +1

    Most loved video from my heart❤️❤️

  • @krishnapriyapk530
    @krishnapriyapk530 Год назад

    Excellent teaching ,thank you sir !

  • @naziaumar3169
    @naziaumar3169 2 года назад +3

    Very very nice👍👍👍👍👍👍👍👍

  • @purnimasharma907
    @purnimasharma907 Год назад +1

    Sir thankyou for the video .....

  • @mohammadghani6835
    @mohammadghani6835 Год назад +2

    Very nicely presented. Easy to remember. I liked it. Hope everyone will like it too. Thank you so much, Sir.

  • @KK-tb9of
    @KK-tb9of Год назад +3

    Thank you . But what alternate tablets if hospital is too far

  • @sirahmad
    @sirahmad 2 года назад +1

    Thank you very much sir nicely explain everything

  • @mrinalkantimahata4307
    @mrinalkantimahata4307 2 года назад +1

    VERY GOOD VIDEO. PLEASE MAKE VIDEO ON FLACTUATION OFBLOODPRESSURE..IT MANGEMENT.

  • @farzanazargar264
    @farzanazargar264 2 года назад +1

    Superb lecture. Kindly add doses of the drugs as well.

  • @DrRoton-ln5br
    @DrRoton-ln5br Год назад +4

    Nice presentation. Easily understandable. But i have a question,
    "Can we use ACE inhibitor for hypertensive urgency? "

  • @funbox811
    @funbox811 3 года назад +1

    Superb explanation 👍

  • @soumimandal6823
    @soumimandal6823 2 года назад +1

    helped me greatly, thank you

  • @mitalimahadik5690
    @mitalimahadik5690 2 года назад

    Very good explanation sir...

  • @asitdas4692
    @asitdas4692 Год назад +1

    Good concise presentations

  • @krishnendudas9687
    @krishnendudas9687 2 года назад +1

    It’s so useful sir ❤️

  • @shimaibrahim8834
    @shimaibrahim8834 2 года назад +1

    Thanks dr very useful

  • @safiyakhanam9806
    @safiyakhanam9806 3 года назад +2

    JAZAKALLAH..

  • @drsaranyaashok8546
    @drsaranyaashok8546 2 года назад +2

    Sir could you please explain the use of lasix in hypertensive emergency and urgency ? And is this right practice to use injection lasix for all hypertensive emergency and urgency

    • @ranjithgonzalez653
      @ranjithgonzalez653 Год назад

      You can use lasix in case of volume overload status like hypertensive pulmonary oedema

    • @Little-v2x
      @Little-v2x 11 месяцев назад

      U think lasix if there excess fluid in ur body! I

  • @manusharma9093
    @manusharma9093 3 года назад +2

    Great sir..

  • @ashokkumarsingh6631
    @ashokkumarsingh6631 2 года назад +1

    Very nicely topic is covered, thank you- Dr A K Singh

  • @doctorumerkamran9741
    @doctorumerkamran9741 Год назад

    wonderful presentation. ❤

  • @rajkiaramothkuri8923
    @rajkiaramothkuri8923 3 года назад +1

    V nice sir...tq....

  • @udayprabhakar6744
    @udayprabhakar6744 2 года назад

    Thanks Doc, very useful info.

  • @rokronkrati
    @rokronkrati 2 года назад +1

    Great , thankyou sir.

  • @camrank3334
    @camrank3334 2 года назад

    Helpful for residents👍

  • @vijaysinghkdc
    @vijaysinghkdc 3 года назад +1

    Sir awesome video

  • @drzayanhussain
    @drzayanhussain 5 месяцев назад

    Doctor you give me Rizwan Sajan vibes

  • @TrixieTaylor-bn6dw
    @TrixieTaylor-bn6dw Год назад

    Thanks great explanation

  • @sanyasipanigrahi4860
    @sanyasipanigrahi4860 3 года назад +1

    Very good sir.

  • @zainbahmed8132
    @zainbahmed8132 Год назад +1

    Some doctors use lasix in urgency hypertension? It is safe do lasix fast hypotensive drug?

  • @barad7907
    @barad7907 2 года назад +1

    Mind blowing teaching style sir

  • @akhonadraai5683
    @akhonadraai5683 2 года назад +5

    Hi Dr, Excellent work.
    May you please make videos:1)neuro ophthalmology emergencies,
    2)heart murmurs, and
    3)thrombocytopenia.Njokweni(south africa)

  • @funbox811
    @funbox811 3 года назад +1

    Thank you so much sir❤

  • @akhonadraai5683
    @akhonadraai5683 2 года назад +2

    I like the approach Dr.
    How does a sudden BP drop cause stroke?
    How do you choose labetalol or sodium nitroprusside?Njokweni (south africa)

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад +8

      When the blood pressure is high brain has inhabited itself to high blood pressures. When you suddenly drop blood pressure to normal. Brain doesnot get the time to adjust its blood supply to lower pressures. So lesser blood supply to brain results in ischemic stroke.
      High BP + tachycardia = pick labetalol
      High BP + Bradycardia = Pick Nitroprusside

    • @kyra-1518
      @kyra-1518 11 месяцев назад

      Thnq sir 🎉

  • @kotnibabji2941
    @kotnibabji2941 2 года назад

    Sir good evening thanks for your lectures...sir why do pt develop stroke in both the cases in emergency and also in urgency.. please explain sir..I mean in emergency if pt had end organ damage as haemorrgic stroke..they how again pt get stroke in emergency if we reduce bp immediately...thank you sir

  • @nitaichandhalder6079
    @nitaichandhalder6079 6 месяцев назад

    But sir according to text book drug of choice for hypertensive urgency is clonidine

  • @DrYogeshPopalghat
    @DrYogeshPopalghat Год назад

    You didn’t explain how to give NTG ?
    How much ml / min ?
    Is that plane NTG / should we dilute with NS ?

  • @anistanveer1298
    @anistanveer1298 Год назад

    What is the dose of sodium nitroprusside for infusion?
    Very nice lecture

  • @kamalr.1250
    @kamalr.1250 2 года назад

    Sirji PHC aur RH par jyadatr cap depin sublingual use karte hai...jo ki aapne never use nifidepin bataya hai....kaise karneka...

    • @Little-v2x
      @Little-v2x 11 месяцев назад

      Look for any risk factors of stroke?? Handle as that.. U can give mannitol infusion along with that if possible

  • @DrFour-nl4sq
    @DrFour-nl4sq Год назад +1

    Very nice lesson, thank you sir, i followed you all

  • @AshrafShohag-df1sh
    @AshrafShohag-df1sh Год назад

    Amazing lecture

  • @drimranulhoda4173
    @drimranulhoda4173 2 года назад +1

    Sir Inj. Labetalol 50 mg iv or 20 mg iv ?

  • @tejaswipatil1233
    @tejaswipatil1233 Год назад

    Sir plz give us some knowledge of emergency in paediatric patients

  • @asadmurad-6158
    @asadmurad-6158 Год назад

    Can we use captopril sublingually to hypertension urgency?

  • @WarishaKhan-d3v
    @WarishaKhan-d3v 3 месяца назад

    Is there any channel for obs and gynae clinical knowledge and treatment pls suugest

  • @musabzubair7299
    @musabzubair7299 3 года назад +2

    In hypertensive urgency ..can we give ACE inhibitor in less than 55 year as CMDT said

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  3 года назад +2

      ACE inhibitors cause precipitous fall in blood pressure and therefore should be avoided in patients who are hypovolemic.

  • @hamzahussain6500
    @hamzahussain6500 3 года назад +1

    AOA sir hypertension ki wajah say meray room mate ko khooni bawaseer ho gya hay kindly treatment bta den.Bundle of thanks.

  • @naveedalam6811
    @naveedalam6811 2 года назад +2

    Very nice video sir. Kindly comment on confusion regarding use of sublingual ACEIs(i.e Captopril) as it is being used in our A&Es for hypertensive urgencies. Thank u

    • @terrifyingJ
      @terrifyingJ Год назад +1

      Captopril PO 26mg stat works great
      Onset of action is within 15-20 mins
      Can be used for htn urgency
      Written in CMDT medicine

    • @Little-v2x
      @Little-v2x 11 месяцев назад +1

      I think any antihypertensive drug works it all depends on how patients are responding and keeping check of side effects and contraindications of drugs

  • @velpandisenthil4148
    @velpandisenthil4148 Год назад

    Sir.,
    When did i use sublingual drugs to control high blood pressure

  • @jiolife9358
    @jiolife9358 2 года назад +2

    Sir, could you please help me ? I have left side intermittent chest pain since 2 days I got ecg I think in lead 2 there is mild st elevation ....caould I share with you my ecg..
    Thank you🙏🙏🙏🙏🙏

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад

      Jio Life, you may email it to me on "docwaqasfazal@gmail.com". Please also share your age with it.

  • @adilnizami2199
    @adilnizami2199 Год назад

    Thank you sir 👏

  • @allaboutent6207
    @allaboutent6207 5 месяцев назад +1

    What is the dose of oral atenolol in hypertensive urgency

  • @shaistabugti5660
    @shaistabugti5660 28 дней назад

    sir plz make vedios on how to read xray .

  • @peerzadabasharat5715
    @peerzadabasharat5715 2 года назад

    Sir i want to know about old patients having copd and hypertension ...which drug is safe ...that is having least side effects ...can we go for labetelol .lasix or anvas or amlong ...sir plz let me know ...

  • @tarek6359
    @tarek6359 Год назад

    what about malignant hypertension? is it the same as hypertensive urgency?

  • @cyberteron
    @cyberteron 2 года назад +1

    Thank you

  • @dr.dipakhiray4892
    @dr.dipakhiray4892 2 года назад +1

    👌👌👌👌👌👌

  • @drasadmasood572
    @drasadmasood572 2 года назад

    Sir if pt. Is taking aspirin and rovista for mi 2 years back. And now presented in emergency with bp 210/210 .. ecg shows previous ischemic changes. Now this is emergency or urgency now ?

  • @tejaswipatil1233
    @tejaswipatil1233 Год назад

    Plz tell us about gynaecology obs emergency

  • @mtmadv7872
    @mtmadv7872 2 года назад

    Assalam o Alaiqum sir
    Is Amlodipine long acting calcium channel blocker or short acting calcium channel blocker?
    Plz tell me
    Mera ye confusion door kar dijiye plz

  • @topoftheworld4134
    @topoftheworld4134 Год назад

    Sir,can we advice for IV drips in case of hypertensive urgency ?

  • @payalagarwal1299
    @payalagarwal1299 2 года назад

    Can we use s.l .isosorbide di nitrate

  • @obaidumair8898
    @obaidumair8898 3 года назад +1

    Sir I'm struggling against ibs d last 24 years and I'm so skinny so plz tell can ibs d cause weight loss ?

  • @anushridas9124
    @anushridas9124 2 года назад +1

    Thanks sir

  • @drali771
    @drali771 2 года назад +2

    ❤️

  • @Kim-kd8or
    @Kim-kd8or 3 года назад +1

    Hi 👋 thank you for your video much appreciated from a student. Could you /anyone here give me some advice on a case. 31y/o female presents with chest pain and SOB. Sats are good at 98%, pulse 110 BP 202/112 Initial blood work was fine at her GP earlier that day. ECG normal. Medication-she is taking lithium. What is your thought on hypertension in this case with normal bloods(we will repeat as was 12 hours ago) so this would be urgent hypertension but she is having chest pain so that would make it crisis? Sorry if this seems stupid for a first year but I am a little confused with vitals elevated and bloods normal. I know with angina troponin is only seen in around half patients ? Bloods can increase from initial test after 12 hours right? I appreciate any help thank you

    • @drfarhatjabeen5806
      @drfarhatjabeen5806 2 года назад +1

      Essential hypertension nothing to do with lithium

    • @Kim-kd8or
      @Kim-kd8or 2 года назад

      @@drfarhatjabeen5806 thank you Dr for your reply. Yes exactly but that’s the only thing that she takes medication wise the medication would not elevate the BP. Any suggestions on extra test / ideas you would do is this case ? Thanks again much appreciated from a student 😊

  • @drosamahassanniazi8946
    @drosamahassanniazi8946 6 месяцев назад

    Excellent

  • @venkatesh2992
    @venkatesh2992 2 года назад

    Thank u sir 🙏

  • @satyajeetkumar6716
    @satyajeetkumar6716 11 месяцев назад

    Thank you boss

  • @KarchungKarchung-s6n
    @KarchungKarchung-s6n 5 месяцев назад

    ❤❤❤❤

  • @mofeokoromadu2962
    @mofeokoromadu2962 5 месяцев назад

    Thank you sir

  • @Barry_boy_classic29
    @Barry_boy_classic29 6 месяцев назад

    NICE VIDEO

  • @M.Sweatha
    @M.Sweatha 3 месяца назад

    🙏🏻🙏🏻

  • @NgoziEmenike-k8h
    @NgoziEmenike-k8h 21 день назад

    Thanks

  • @cyberteron
    @cyberteron 2 года назад

    Can we use sublingual captoptril ?

  • @medicochina655
    @medicochina655 2 года назад

    Sir your lectures are excellent , how can I get your all the lectures in USB or other way??

  • @MuhammadTalha-69
    @MuhammadTalha-69 Месяц назад

    I am a Pharmacist, can any mention any Intresting channel about Clinical Pharmacy

  • @FA-ty2ml
    @FA-ty2ml 2 года назад

    In a phc setup. Htn urgency. Why can't u give oral nifedipine. ? Pls explain. Not sublingual am saying oral.
    Secondly wat is the DOC. For htn urgency.. is it atenolol + amlong ?

    • @Little-v2x
      @Little-v2x 11 месяцев назад

      Nifedipine oral with mannitol infusion to prevent from stroke.. Atenolol is started first then we add other drugs like ace, diuretics, calcium channel blockers as a routine practice if BP is uncontrollable

  • @swarapawar3903
    @swarapawar3903 Месяц назад

    🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

  • @bevergers5364
    @bevergers5364 Год назад

    Nice

  • @barad7907
    @barad7907 2 года назад +1

    🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻❤❤❤❤❤❤

  • @Luxuryreach
    @Luxuryreach 3 года назад +1

    Sir. What about diuretics in HTN??

  • @barad7907
    @barad7907 2 года назад +2

    My dil garden garden hogeya sir