| Guideline | Resources |
| Asymptomatic Elevated BP in Adults in the ED | 2013 ACEP Clinical Policy | epocrates Synopsis |
Key Points
Markedly elevated BP defined as ≥160 mmHg systolic or ≥100 mmHg diastolic. In nonpregnant pts w/o end-stage renal insufficiency who don’t have sign/sx of acute target-organ injury, routine screening tests (eg, Cr, UA, ECG) and routine intervention to ↓BP aren't required. However, in select pts (eg, w/ poor f/u), screening for ↑Cr may identify conditions that affect disposition/tx.
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Clinical Policy: Critical Issues in the Eval and Management of Adult Patients in the Emergency Department With Asymptomatic Elevated Blood Pressure. Ann Emerg Med. 2013;62:59-68.
Epocrates Guideline Synopsis Last Update:
Sep 28, 2018
Publication Year:
2013
Source:
ACEP
- American College of Emergency Physicians
Recommendation Level
| [A] | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| [B] | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| [C] | Recommendations based on Class III studies or expert consensus |
Abbreviations
| ACEP | American College of Emergency Physicians |
| Cr | creatinine |
| ED | Emergency Department |
| UA | urinalysis |
Recommendation Level
| A | = | Generally accepted principles for pt care that reflect a high degree of clinical certainty (Class I/multiple Class II studies) |
| B | = | Recommendations that reflect moderate clinical certainty (Class II or strong Class III studies) |
| C | = | Recommendations based on Class III studies or expert consensus |