What is included in acute monitoring of patients with hypertensive encephalopathy?

Updated: Dec 10, 2018
  • Author: Irawan Susanto, MD, FACP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Acute inpatient ICU monitoring with arterial blood pressure monitoring is required for adequate titration of pharmacologic agents. Routinely perform neurologic reassessment to monitor signs of deterioration due to inadequate treatment, evaluation the progression of a neurologic insult, watch for overzealous reduction of blood pressure, or assess a possible alternative cause of the clinical presentation.

Quickly and effectively treat severe hypertension to avoid progression to coma and death. If invasive monitoring is not immediately available, initiate alternative therapy with agents that do not require close monitoring until a monitored situation becomes available.


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