24/11/2025
Hypertensive Urgency = BP ≥180/120 with NO organ damage →
Go Slow
Use oral meds: Amlodipine 5–10 mg, Captopril 25 mg oral , Labetalol 100–200 mg.
❌ Avoid Sublingual Captopril & IV Lasix → they drop BP too fast → stroke / AKI/ MI risk.
Hypertensive Emergency = High BP + organ damage (stroke, MI, pulm edema , aortic Dissection) → Go Fast
Use IV Labetalol / Nicardipine/ Nitroglycerin / Clevidipine
Organ damage with specific choices
1-ACS - Nitroglycerin
2- Ac. Pul edema - Nitroglycerin & loop diuretics
3-Obstructive lung disease-
Clevidipine, Nicardipine or Nitroglycerin
4- Aortic Dissection- Labetalol
5- Stroke Labetalol, CCBs
6- Eclampsia- Labetalol
7- AKI .Nicardipine or Clevidipine
8- Pheochromocytoma- Phentolamine
Remember: “Urgency = No Damage → Slow. Emergency = Damage → Fast.”
