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The Curbsiders Internal Medicine Podcast

#144 NephMadness: Inpatient Hypertension

Mar 18, 2019
Three nephrology experts discuss inpatient hypertension, including how to respond to overnight nursing calls for elevated blood pressures and the role of treating hypertensive urgency in the hospital. They also explore the question of whether ACE-inhibitors are dangerous to give or hold during an operation. This episode provides insights into the role of anti-hypertensives in the inpatient setting.
43:49

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Quick takeaways

  • When managing hypertensive urgency, it is important to stop giving IV medications and assess the patient's blood pressure regimen.
  • There is no consensus on whether to continue or stop ACE inhibitors and ARBs before surgery, with conflicting advice from different guidelines.

Deep dives

Management of Hypertensive Urgency

When managing hypertensive urgency, it is important to stop giving IV medications and assess the patient's blood pressure regimen.

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