You are caring for a 68-year-old patient with an altered level of consciousness and reported seizure activity. You obtain a blood pressure of 244/140 mmHg, a pulse of 90, and respirations of 18. Which of the following medications would be most suitable for this patient?
A) Minoxidil (Loniten)
B) Hydralizine (Apresoline)
C) Enalapril (Vasotec)
D) Nitroprusside (Nipride)

Question

Quizplus · Accepted Answer

The patient has severely elevated blood pressure, which can cause damage to vital organs and exacerbate the altered level of consciousness. Nitroprusside is a potent vasodilator that can rapidly lower blood pressure in emergencies. Minoxidil and hydralazine are also vasodilators but may not work as quickly as nitroprusside. Enalapril is an ACE inhibitor, which is useful for chronic management of hypertension but may not be suitable for acutely lowering blood pressure in an emergency situation.

You Are Caring for a 68-Year-Old Patient with an Altered