The most commonly used intravenous drug is nitroprusside. An alternative for patients with renal insufficiency is intravenous fenoldopam. Labetalol is another common alternative, providing easy transition from intravenous to oral dosing. However, intravenous calcium blockers (eg, nicardipine) could be useful in quickly and safely reducing blood pressure to target levels.
For more on medical management of malignant hypertension, read here.
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Cite this: Fast Five Quiz: Are You Prepared for a Hypertensive Emergency? - Medscape - Jul 02, 2014.
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