MACE Medication Aide

Category - MACE

A patient is in hypertensive crisis with bp> 240/130 mm Hg. There is evidence of end organ damage. Which of the following would be the BEST first choice to use?
  1. Labetalol
  2. Hydralazine, IV
  3. Clonidine
  4. Nitroprusside, IV
Explanation
Answer: D - With bp> 240/130 and with end organ involvement evident, current guidelines recommend nitroprusside IV (0.1 mcg/kg/min). The other agents listed are used in less critical situations.
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