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Hypertensive emergencies should be treated within one hour. Hypertensive urgencies may be treated more slowly. The term accelerated malignant hypertension is used when retinal haemorrhages, exudates and pailloedema are found. Hypertensive encephalopathy denotes cerebral involvement with headache, irritability, altered consciousness and seizures.
As a general rule patients with a diastolic BP >130 should be treated fast. Urgent treatment also should be given to those in whom the rise in BP is found to be rapid.
1) Sodium nitroprusside infusion is the initial drug of choice (0.5 to 0.8 microgm, kg/min). May not be available in many centres. The dose should be very carefully titrated because of the possibility of hypotension and shock.
2) Nitroglycerin infusion: 0.25-5.0 microgm/kg/min
3) Labetalol: Bolus 2-10 mg or infusion: 2.5-30 microgram/kg/min
4) Captopril: Sublingual 12.5-25 mg
5) Hydralazine: IV 5-10 mg boluses
6) Enalapril: IV 0.5-5 mg bolus
7) IV diazoxide can be used as an alternative at a dose of 150 mg in 30-60 seconds as bolus.
What was the Oral Status of the Patient It is imperative that the patient carry out a strict oral hygiene regimen as dental plaque is one of the main factors that leads to impl
Regulation of Glycogenesis Glycogen synthase, the key enzyme in glycogenesis, is activated by insulin and glucose and inhibited by CAMP.
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simpson''s index
Explain briefly why 'greenhouse' gases lead to global warming. The greenhouse gases do not interfere with the short-wave radiation reaching the Earth from the sun but take up t
To observe yeast plants Borrow a microscope from a college, a high school, a doctor or a hospital. Place a some drops of the sugar solution which having yeast on a glass slide
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