TRATAMENTUL CRIZEI HIPERTENSIVE

Dr. Laurentiu Lucaci CRIZA HIPERTENSIVA = cresterea TA > 230/ 30 !!H"# $ara atin"ere %r"anica& 'R(ENTA HIPERTENSIVA = cresterea TA > 230/ 30 !!H"# cu si!)t%!e c%!)ati*i+e cu atin"erea ce+ )utin a unui %r"an tinta , -e e../ ence$a+%)atia HTA# insu$icienta 0entricu+ara stan"a# an"ina )ect%ra+a / in$arctu+ !i%car-ic# e-e!u+ )u+!%nar acut# -isectia a%rtei 1. TRATA2ENT'L PRESPITAL 3 ALTERNATIVE TERAPE'TICE/ . NITR4(LICERINA su*+in"ua+ , c) sau )u$ 1# e0entua+ re)etat -u)a 0520 !inute& 2. NI6EDIPINA 0 !" )%# e0entua+ re)etata -u)a 0520 !inute ,re-uce TAS si TAD cu 7 208 in 20 !inute& -e %*icei# aceasta re-ucere nu are risc se!ni$icati0 nici in )re9enta -e si!)t%!e cere*ra+e1& 3. NITRENDIPINA : !" )%# e0entua+ re)etata -u)a 0520 !inute& ;. CL4NIDINA 0.0<: !" intra0en%s +ent# e0entua+ re)etata -u)a 0520 !inute& :. 6'R4SE2ID 205;0 !" intra0en%s& =. ENALAPRIL .2: !" intra0en%s ,)ri!a a+e"ere in insu$icienta 0entricu+ara stan"a secun-ara cri9ei HTA# a+aturi -e $ur%se!i-1.

TRATA2ENT'L IN SPITAL 3 4PTI'NI ADAPTATE TA>L4'L'I AS4CIAT CRIZEI HTA/ SI2PT42E / STARI AS4CIATE HTA D'RERE T4RACICA S'SPICI'NEA AN(INA / IN6ARCT 2EDICA2ENTE INDICATE NT( i.0.# >L4CANT NITR4PR'SIAT Na@ 6'R4SE2ID# IECA# NT( i.0.# NITR4PR'SIAT Na@ NT( i.0.# NI6EDIPINA# NI24DIPINA# IECA# 'RAPIDIL 2ETILD4PA# 2"S4;# 'RAPIDIL# >L4CANT# HIDRALAZINA# DIAZEPA2# TER2INAREA SARCINII 2EDICA2ENTE C4NTRAINDICATE HIDRALAZINA# DIAZ4?ID ,cresc -e*itu+ car-iac si c%nsu!u+ 421 HIDRALAZINA# DIAZ4?ID ,cresc -e*itu+ car-iac DC1 >L4CANT ,sca-e in%tr%)is!u+1 HIDRALAZINA , DC1# DIAZ4?ID , $+u.u+ cere*ra+1# 2ETILD4PA ,se-are1# REZERPINA ,se-are1 ANTICALCIC# IECA# DI'RETIC# CL4NIDINA# PRAZ4SIN

DISECTIE DE A4RTA DISPNEE / S'>CREPITANTE A2ETELI# CE6ALEE# T'L>'RARI DE VEDERE# DE C4NSTIENTA# SE2NE DE 64CAR# STAZA PAPILARA AST2 CARDIAC / EDE2 P'L24NAR AC'T ENCE6AL4PATIE HIPERTENSIVA

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