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MediumCardiologyHypertensive emergencyca-mccqe1ca-rcpsc-emca-rcpsc-im

A 68-year-old woman with long-standing poorly controlled hypertension presents to the emergency department with severe headache, confusion, and blurred vision. Blood pressure is 230/130 mmHg. Fundoscopy reveals bilateral papilloedema. Creatinine is 210 µmol/L (baseline 90 µmol/L). There are bibasal crackles on auscultation. Which blood pressure management strategy is most appropriate over the first 1-2 hours?

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