Question

A client in a hypertensive emergency is admitted to the ICU. The nurse anticipates that the client will be treated with IV vasodilators, and that the primary goal of treatment is what?

a. Lower the BP to reduce onset of neurologic symptoms, such as headache and vision changes.
b. Decrease the BP to a normal level based on the client's age.
c. Decrease the mean arterial pressure between 20% and 25% in the first hour of treatment.
d. Reduce the BP to ≤ 120/75 mm Hg as quickly as possible.

Answer 1

The primary goal of treatment with IV vasodilators for a client in a hypertensive emergency is to decrease the mean arterial pressure by 20% to 25% in the first hour.

Step-by-step explanation:

In the management of a hypertensive emergency for a patient admitted to the ICU, the primary goal is to utilize intravenous vasodilators to decrease the mean arterial pressure (MAP) by 20% to 25% within the first hour of treatment. This targeted reduction aims to address the acute hypertension while minimizing the risk of complications such as end-organ damage. Striking a delicate balance is crucial; a prompt yet controlled decrease in blood pressure prevents potential ischemic injury. Swift intervention is necessary to mitigate the risks associated with hypertensive emergencies, but caution is exercised to avoid overly rapid reductions that might lead to hypoperfusion.

This tailored approach reflects a careful consideration of the patient's immediate needs, emphasizing both the urgency and prudence in managing hypertensive emergencies in the critical care setting.