I10
DESCRIPTION
These patients have severe hypertension (DBP ≥110 mmHg and/or SBP ≥180 mmHg), are asymptomatic and have no evidence of progressive target organ damage.
Keep the patient in the care setting and repeat BP measurement after resting for 1 hour.
If the second measurement is still elevated at the same level, start oral therapy using two medicines together, one of which should be low dose hydrochlorothiazide. The second medicine is either a long-acting calcium channel blocker, e.g. amlodipine, or an ACE-inhibitor, e.g. enalapril.
Follow up carefully and refer as needed.