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Table 55.4

Intravenous Therapy for Severe Hypertension with Organ Damage

DrugPropertiesAdministration
LabetalolBeta and alpha-adrenergic blocker

IV bolus: 10–20 mg over 1–2 min

IV infusion: 1–8 mg/min (see text)

EsmololShort-acting beta-adrenergic blocker

IV bolus: 1 mg/kg over 30s

IV infusion: 150–300μgm/kg/min (see text)

Isosorbide dinitrateNitric-oxide-mediated vasodilatationIV infusion: 2–12 mg/h (see text)
NicardipineDihydropyridine calcium channel blockerIV infusion: 5–15 mg/h (see text)
PhentolamineShort-acting, non-selective alpha-adrenergic blocker

IV bolus: 1 mg (response is maximal in 2–3 min and lasts 10–15 min)

IV infusion