Asymptomatic Hypertension (2013)

  • Inclusion:
    • Age ≥ 18
    • Symptomatic elevated BP
    • Lack signs of symptoms of acute target organ injury.
  • Exclusion:
    • Acute hypertensive emergencies (acute stroke, cardiac ischemia, pulmonary edema, encephalopathy, CHF)
    • Pregnant
    • ESRD
    • Emergent conditions that are likely to cause elevated BP not directly related to acute target organ injury
    • Acute presentation of serious medical conditions associated with hypertension (stroke, MI, CHF)
  • Level A: None
  • Level B: None
  • Level C:
    • Routine screening for acute target organ injury (Cr, UA, ECG) not required
    • In select patient population ( poor follow up), screening creatinine may identify kidney injury that affects disposition.
    • Routine ED medical intervention not required.
    • May treat elevated BP in ED +/or initiate therapy for long term control in select patients.
    • Refer for outpatient follow up.

Clinical Policy: Critical issues in the evaluation and management of adult patients in the emergency department with asymptomatic elevated blood pressure. Ann Emerg Med. 2013;62:59-68.

3 thoughts on “Asymptomatic Hypertension (2013)”

  1. This is the best class out there and every new Np must obtain this certificate because this class enables one to be marketable and compete with other NP who have limited experience.
    Thanks for sharing your wealth of knowledge and taking the time to make NP’s compete for provider’s position. I recommend this program to ever Np program to better equip their graduates for the real world

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