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The guidelines for managing blood pressure in the emergency department have changed over the years. The medications used to manage blood pressure acutely is also very different than long-term management. So, for this week’s video I want to go over how to manage hypertension in the ED. But first, let’s go over a few definitions: Hypertensive urgency: blood pressure over 180 systolic or over 120 diastolic with no signs of end organ damage. But, these are just a guideline and we need to take into account the patient's baseline blood pressure. Hypertensive Emergency: same as hypertensive urgency WITH the addition of end organ damage. We'll also discuss: The top three areas of end-organ damage in HTN emergency. How to classify a renal HTN emergency? Situations where aggressively lower BP is indicated When you want to avoid nitroglycerin for lowering BP . Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opp... or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/app... - Learn more about what we do here https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates: https://urlgeni.us/facebook/ib9I - This video should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.