April 7, 2021

REBEL Core Cast 53.0 – Hypertensive Encephalopathy

Take Home Points

  • Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to organize your thoughts
  • Hypertensive encephalopathy is a diagnosis of exclusion – make sure you’re not dealing with another process like meningitis or an intracranial hemorrhage
  • Once the diagnosis of hypertensive encephalopathy is made, shoot to lower the SBP by about 20-25% over the hour using a drug like nicardipine, clevidipine or labetalol

REBEL Core Cast 53.0 – Hypertensive Encephalopathy

Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)

Cite this article as: Anand Swaminathan, "REBEL Core Cast 53.0 – Hypertensive Encephalopathy", REBEL EM blog, April 7, 2021. Available at: https://rebelem.com/rebel-core-cast-53-0-hypertensive-encephalopathy/.
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Anand Swaminathan

Clinical Assistant Professor of Emergency Medicine at St. Joe's Regional Medical Center (Paterson, NJ)
REBEL EM Associate Editor and Author
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