A 56-year-old woman with a long history of untreated hypertension is brought to the emergency department because of severe headache and confusion. The

Subject
Medicine
System
Cardiology & Vascular System

Kathryn

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Jul 29, 2020
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A 56-year-old woman with a long history of untreated hypertension is brought to the emergency department because of severe headache and confusion. The patient is oriented to person, but not to time or place. Her blood pressure is 230/140 mm Hg, pulse is 86/min, and respirations are 18/min. Funduscopic examination reveals optic disk edema, and a dipstick test shows protein in the urine. Which of the following is the most appropriate pharmacotherapy?
(A) Clonidine
(B) Enalaprilat
(C) Esmolol
(D) Furosemide
(E) Hydralazine
(F) Nifedipine
(G) Nitroglycerin
(H) Sodium nitroprusside
 
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