// PARAMEDIC Question · Medical
A patient with a hypertensive emergency has a BP of 240/130 and altered mental status. The goal is to:
A. Lower BP rapidly to normal
B. Lower MAP by no more than 20–25% in the first hourCorrect
C. Give no antihypertensives
D. Lower BP by 50% immediately
// Rationale
Rapid BP reduction can cause ischemia; lower MAP by 20–25% in the first hour in hypertensive emergencies.