A 49-yr old man with BP 220/130 mm hg

[K06100]

A 49-year-old man presents to the clinic for a
health maintenance visit. He has no complaints,
but he requests a prescription for his
“pressure pills,” as he lost his original prescription.
On physical examination his blood pressure
is 220/130 mm Hg. Physical examination
is otherwise within normal limits. Laboratory
tests show:
Na+: 142 mEq/L
K+: 3.8 mEq/L
Cl−: 105 mEq/L
Carbon dioxide: 25 mEq/L
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.0 mg/dL
Glucose: 133 mg/dL
Urinalysis is within normal limits, and his
ECG is normal. Which of the following is the
most effective management?

(A) Administer intravenous nitroprusside for
management of hypertensive emergency
(B) Administer intravenous nitroprusside for
management of hypertensive urgency
(C) Administer oral furosemide for management
of hypertensive emergency
(D) Administer oral metoprolol for management
of hypertensive urgency
(E) Administer sublingual nifedipine for management
of hypertensive emergency

[sonu.agarwall]

D...........he is assymptomatic so not an emergency

[Novobiocin]

(D) Administer oral metoprolol for management
of hypertensive urgency

[XpaezX]

D

No end-organ damage discards emergency

The definition depends on end organ damage and NOT on BP values