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Old 06-20-2010
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Drug Hypertesive Emergency

A 48-year-old man is brought to the emergency department by his wife after obtaining a blood pressure reading of 234/142 mm Hg on a home blood pressure monitor. In the emergency department, his blood pressure is 236/144 mm Hg. The patient states that he has always had poorly controlled blood pressure. He also states that he took medication for a migraine headache 2 hours earlier. Which of the following medications did he most likely take?
A. Diclofenac potassium
B. Ergotamine
C. Methysergide
D. Propranolol
E. Sumatriptan
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Old 06-20-2010
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Default Hypertensive emergency

I would say: B - Ergotamine as it's commonly used in migrane therapy and causes vascular constriction (as a result of binding with alpha receptors)
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Old 06-20-2010
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i'll go with B, ergotamine an ergot drug which causes vasoconstriction.
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Old 06-20-2010
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Hi
I just want to pay your attention for the fact that the case presented is not hypertensive emergency rather is hypertensive urgency which is defined as diastolic BP>120 mm Hg in absence of symptoms of end organ damage as confusion, blurred vision, papilledema, chest pain, pulmonary edema, anuria, rising BUN/creatinine or urinary sediment suggestive of kidney damage.
The very same diastolic BP level in the presence of one of these symptoms will be considered hypertensive emergency.
thanks.
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Old 06-20-2010
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E. Sumatriptan.....not sure....
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I am thinking the answer is E
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Old 06-21-2010
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True Answer: E. Sumatriptan
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Old 06-21-2010
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Quote:
Originally Posted by good_boy_1234 View Post
True Answer: E. Sumatriptan

Could you please explain why the correct answer is E, while during Ergotamine therapy above symptoms can also occur?
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Old 06-21-2010
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Quote:
Originally Posted by Casandra View Post
Could you please explain why the correct answer is E, while during Ergotamine therapy above symptoms can also occur?
Both are used in migrane, but this enormous increase in BP means Sumatriptan

I hope if anybody could explain more
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Old 06-21-2010
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Quote:
Originally Posted by aalawi View Post
Hi
I just want to pay your attention for the fact that the case presented is not hypertensive emergency rather is hypertensive urgency which is defined as diastolic BP>120 mm Hg in absence of symptoms of end organ damage as confusion, blurred vision, papilledema, chest pain, pulmonary edema, anuria, rising BUN/creatinine or urinary sediment suggestive of kidney damage.
The very same diastolic BP level in the presence of one of these symptoms will be considered hypertensive emergency.
thanks.
Thank you but this is what was written in Q bank explanation!!
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