Hypertensive Emergency

Abstract

Scenario overview A 55-year-old woman with history of end-stage renal disease (ESRD) on hemodialysis, with hypertension, diabetes and coronary artery disease found by neighbors after hearing the patient's dog barking in her apartment for over 2 hours. She is minimally responsive and lying on couch. Neighbor says he spoke to her the previous evening when she told him that she wasn't feeling well and has missed 4 days of dialysis. She arrives by ambulance. Pill bottles were found at beside and brought by EMS to show to the medical team: hydrochlorothiazide, amlodipine, Glucophage (metformin), aspirin. The medical work-up in the ED reveals renal failure, hyperkalemia and CHF. Patient goes into ventricular tachycardic arrest. Team should go through the AMS algorithm and must treat the elevated BP. Teaching objectives/discussion points Clinical and medical management.

Publication Date

1-1-2015

Publication Title

Simwars Simulation Case Book: Emergency Medicine

Number of Pages

65-69

Document Type

Article; Book Chapter

Personal Identifier

scopus

DOI Link

https://doi.org/10.1017/CBO9781107111011.018

Socpus ID

85011321147 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/85011321147

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