Emergency Management Protocol

Admit. Give parenteral medicines. Aim to lower BP over 24 hours (not too rapidly). IV furosemide 40-80 mg. If aggressive lowering needed, use IV hydralazine 5-10 mg slowly over 20 mins.

Admit. Combination oral therapy (ACEI/ARB + CCB ± diuretics). Aim to lower BP over 48-72 hours.