Hypertensive emergency
Educational use only. Not clinically reviewed58-year-old woman for Hypertensive-emergency reassessment in a monitored cardiac unit. About 9 simulated minutes.
What you will practise
- Verify the authored measurement conditions and reconcile the repeated pressure, symptoms, medication interruption, and whole-patient trajectory.
- Identify acute renal and retinal target-organ injury while screening other current organ emergencies and deterioration triggers.
- Review the renal-retinal phenotype, medication interruption, and open primary and secondary contributors without assigning one cause.
- Record prompt monitored, syndrome-specific pressure-control intent without selecting a drug, dose, infusion rate, universal target, or rapid normalization.
- After elapsed time, review the authored 45-minute pressure, symptoms, perfusion, and neurologic panel without claiming learner-delivered response.
- After another elapsed interval, hand off the authored 3-hour renal-retinal, pressure, symptom, cause, treatment, and ownership trajectory.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Jones DW, Ferdinand KC, Taler SJ, et al. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults. Circulation. 2025. doi:10.1161/CIR.0000000000001356.
- Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81:e94-e106. doi:10.1161/HYP.0000000000000238.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.