A Hypertensive Emergency
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Question 1 of 3
1. Question
What imaging modality must you arrange for this person urgently
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Question 2 of 3
2. Question
His ECG shows a sinus tachycardia but no acute ischaemic changes.
His arterial blood bases are as follows: pH = 7.30, PaO2 = 14kPa on air, PaCO2 = 4.5kPa, HCO3 = 20mmol/l, BE = -4, SaO2 96.6%.
His CXR is as shown:
You recognise that there is widening of the mediastinum and suspect that he has a thoracic dissection. You consider the need to control his blood pressure which is 190/100 despite analgesia.
What is this patient’s mean arterial pressure (MAP) and target maximum systolic Blood Pressure?
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Question 3 of 3
3. Question
What is the most suitable single therapeutic agent to use to control his blood pressure and how is it administered?
Pulse is 110, BP 190/100, SaO2 92% on air, and RR 20.
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