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"What is the best way to reduce blood pressure of 240/140 in emergency room?"

ZocdocAnswersWhat is the best way to reduce blood pressure of 240/140 in emergency room?


The patient came to the emrgency room with acute pulmonary edema ( acute heart failer) and blood pressure of 240/140 what is the most best way to decrease the blood pressure to normal ?


This is a great question and I recommend that you discuss this with your doctor. There are a few different approaches that physicians would take to bring an extremely hypertensive person with a very dangerous blood pressure back down to a safer blood pressure. One important note here is that dropping the blood pressure down to normal might be incredibly dangerous in this patient. You should only drop blood pressure down about 20% which in this case would be down to about 190/100. Dropping below that could impair blood flow to the brain. After it is been dropped by 20% than the blood pressure can be brought down slowly down to normal over the course of a few days. If somebody is in pulmonary edema and has blood pressure that high the medication that I would reach for first would be intravenous nitroglycerin. This is a medication that can be given in an emergency department or in the hospital to help bring down blood pressure and help improve pulmonary edema. Other options that would be considered would also include hydralazine and labetalol. You should never manage her blood pressure such as this at home. Thus if you ever are faced with a blood pressure this high with or without symptoms of heart failure you should always present to an emergency department right away. Good luck.

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