Acute Severe Hypertension
Critical Matters
00:00
Is There Acute Organ Damage?
The sentinel decision point in terms of intervening from an intensiveous perspective with an IV drug aggressively in an ICU centers around the presence of acute organ damage. Could you tell us how you approach a patient with severe acute hypertension and determining do they have organ damage is from a very practical standpoint? I use an approach that leaves room for discussion, right? But let's be pragmatic. If the patient doesn't have symptoms suggesting a heart failure, a BNP has no value. The issue of doing troponins or not, everybody, I do an EKG on everybody, but without real certainty that that's of any value.
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