Correct identification and early management of hypertensive disorders should be a part of the therapeutic repertoire of every professional working in hemodynamics units. Based on recent publications, this study aims to propose a practical approach to the identification and early management of these disorders in this type of service.
hypertension; blood pressure; therapeutics; antihypertensive agents
| Medication | Mechanism | Initial dose | Effect begins | Maximum dose | Lasts | Contraindications | Adverse effects |
|---|---|---|---|---|---|---|---|
| Nitroprusside | Arterial and ve-nous vasodilator | 0.3 μg/kg/min | Less than 1 minute | 5 to 10 μg/kg/min | 3 to 5 minutes | Relative: Kidney and liver failure | Toxicity by cyanide |
| Nitroglycerin | Primarily venous vasodilator | 5 to 10 μg/kg/min | 2 to 5 minutes | 100-200 μg/kg/min | 3 to 10 minutes | - | Headache |
| Metoprolol | Beta-blocker | 5 mg in 5 minutes | 5 to 10 minutes | 15-20 mg | hours | 2nd and 3rd degree AVB, severe HF, asthma | Bradycardia, TAVB, bron-chospasm |
| Propranolol | Beta-blocker | 1 mg in 5 minutes | 5 to 10 minutes | 6-8 mg | hours | 2nd and 3rd degree AVB, severe HF, asthma | Bradycardia, TAVB, bron-chospasm |
| Labetalol | Alpha- and beta-blocker | 10-20 mg in 10 minutes | 5 min-utes | 300 mg | 4 to 8 h | 2nd and 3rd degree AVB, severe HF, asthma | Bradycardia, TAVB, bron-chospasm |
