Hypertensive crisis IN MEDICINE[

1. HYPERTENSIVE CRISIS

2. 1510036
https://app.sli.do/event/bYRrzm553gdcB6dy8tnKYr

3. DEFINITION
• ACUTE EPISODE OF SEVERELY ELEVATED BLOOD PRESSURE WITH
POTENTIAL END ORGAN DAMAGE
• BP EXCEEDING LIMITS OF STAGE II HYPERTENSION OR > 99
PERCENTILE

5. CLASSIFICATION
•
HYPERTENSIVE
CRISIS
HYPERTENSIVE
URGENCY
NO END ORGAN
DAMEGE
HYPERTENSIVE
EMERGENCY
WITH END ORGAN
DAMAGE

6. ETIOLOGY
• CAUSE SIMILAR TO THOSE OF PAEDIATEICS HYPERTENSION.
• SECONDARY CAUSES OF HYPERTENSION LEADS TO HYPERTENSIVE
CRISIS.
• CARDIAC AND RENAL CAUSE IS COMMON

7. • COARCTATION OF AORTA
• RENAL ARTERY THROMBOSIS/ STENOSIS
• RENAL PARENCHYMAL DISEASE
• PHEOCHROMOCYTOMA
• PARAGANGLIOMAS
• ABRUPT WITHDRAWAL OF ANTI HYPERTENSIVES
• SUBSTANCE ABUSE- C0CAINE,AMPHETAMINE

8. PATHOPHYSIOLOGY

9. EVALUATION

10. PHYSICAL EXAMINATION

12. MANAGEMENT
• PRINCIPAL GOAL
GRADUALLY REDUCE BP
PREVENT END ORGAN DYSFUNCTION
• REDUCTION IN SBP AND DBP < 90TH PERCENTILE
• < 130/80 mmhg IN ADOLESCENT
• THE RATE OF BP REDUCTION
25% OVER A PERIOD 6-8 HRS
THEN TO NORMAL 24-72 HRS

14. ORAL THERAPHY

15. REFERENCE
• REVIEW article
• Front. Pediatr., 20 October 2020
Sec. Pediatric Nephrology
Volume 8 - 2020 | https://doi.org/10.3389/fped.2020.588911
• Hypertensive Crisis in Pediatric Patients: An Overview