KRISIS HIPERTENSI

Oleh:
IB Anom Dharma Putra

KLASIFIKASI TEKANAN
DARAH

SEVERE HYPERTENSION : BP >

180/120 mmHg
Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,
Detection, Evaluation, and Treatment of High Blood

KRISIS HIPERTENSI

HIPERTEN
SI
URGENSI

HIPERTEN
SI
EMERGEN
SI

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

KRISIS
HIPERTENSI
HIPERTENSI
URGENSI

HIPERTENSI
EMERGENSI

SEVERE HT
KERUSAKAN ORGAN
TARGET (-)

SEVERE HT
KERUSAKAN ORGAN
TARGET (+)

NYERI KEPALA BERAT

EPISTAKSIS
SESAK
GELISAH

Neurologik:
Encephalopati Hipertensi,
Stroke hemoragik, Papil
edema.
Kardiovaskuler: Unstable
angina, Infark miokardium
akut, Gagal jantung
dengan edema paru,
Diseksi aorta.
Renal: Proteinuria,
hematuria, Gagal ginjal
akut.
Preeklampsia
&
Izzo Jr GJ L, et.al. Seventh Report of
JNC on Prevention,
Eklampsia.
Detection, Evaluation, and Treatment
of High Blood

DIAGNOSIS
ANAMNESI
S
Riwayat hipertensi
& terapinya
Kepatuhan minum
obat
Riwayat penyakit
kronik
Gejala-gejala
serebral, jantung &
gangguan
penglihatan.

P.FISIK

Pengukuran
tekanan darah pada
kedua lengan.
Mata: papil edema,
pendarahan &
eksudat.
Jantung: bunyi
jantung S3 dan S4
serta murmur.
Paru: ronki basal.
Status neurologik:
status mental, defisit
neurologik fokal.

PENUNJAN
G
Laboratorium:
Elektrolit, BUN,
glukosa darah,
kreatinin, urinalisis.
Pemeriksaan lain:
foto rontgen toraks,
EKG dan CT Scan.

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

TATALAKSANA
HIPERTENSI
URGENSI
OBSERVASI
PENURUNAN TD TIDAK
SEGERA (24 48 Jam)
Anti Hipertensi Oral

(TIDAK STABIL)
Obat Anti Hipertensi
Kombinasi

HIPERTENSI
EMERGENSI
ICU
PENURUNAN TD SEGERA
(Menit 1 Jam) Anti
Hipertensi IV (Sesuai
KOT)
Target : MAP Turun
25%
(2 6 Jam)
TD : 160/100-110 mmHg
(24 48 Jam)
TD Normal

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

TATALAKSANA
HIPERTENSI
URGENSI
OBSERVASI
PENURUNAN TD TIDAK
SEGERA (24 48 Jam)
Anti Hipertensi Oral

(TIDAK STABIL)
Obat Anti Hipertensi
Kombinasi

HIPERTENSI
EMERGENSI
ICU
PENURUNAN TD SEGERA
(Menit 1 Jam) Anti
Hipertensi IV (Sesuai
KOT)
Target : MAP Turun
25%
(2 6 Jam)
TD : 160/100-110 mmHg
(24 48 Jam)
TD Normal

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

Izzo Jr GJ L, et.al. Seventh Report of JNC on Prevention,

Detection, Evaluation, and Treatment of High Blood

TERIMA KASIH