Question

In the ED, a 58-year-old with asymptomatic BP 198/112 mmHg, normal exam, and normal fundoscopy requests IV BP lowering. Best management?

Accepted Answer

Start IV nicardipine with 25% rapid MAP reduction

Answer

Urgent IV labetalol to normalize BP

Answer

Restart/adjust oral antihypertensives and arrange close follow-up

Answer

Immediate discharge with no therapy

Answer

Admit to ICU for continuous infusion

Practice question

In the ED, a 58-year-old with asymptomatic BP 198/112 mmHg, normal exam, and normal fundoscopy requests IV BP lowering. Best management?