A known hypertensive 45 year old African American male presented with acute severe headache that started this morning only. He has been well controlled on HCTZ and Atenolol. His last blood pressure reading was 145/85. Today his blood pressure reading is 230/140. Pulse rate 110/min, Temp 38C, Respiratory rate 21/min. Fundoscopic exam showed bilateral papillodema. Other systems were within normal limits. What is the best initial drug therapy in this patient?
A- Intravenous Enalprilat
B- Sublingual Nitroglycerine
C- Intravenous Diazoxide
D- High dose oral propranalol
E- Intravenous Acetazolamide
A- Intravenous Enalprilat
B- Sublingual Nitroglycerine
C- Intravenous Diazoxide
D- High dose oral propranalol
E- Intravenous Acetazolamide