Asymptomatic Hypertension (2013)

April 4, 2020October 16, 2018 by Rob Beatty, MD FACEP

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.

1 thought on “Asymptomatic Hypertension (2013)”

Esther Toe-McPherson

June 17, 2019 at 11:58 pm

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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