TABLE 1

Sequence of Antihypertensive Therapy and Blood Pressure Readings

Hospital DayBlood Pressure, mm HgMedication/Test
1117–126/76–87Hydralazine at 0.4 mg/kg per dose intravenously every 4 h
2101–125/73–93Hydralazine increased to 0.7 mg/kg per dose intravenously every 4 h
3117–126/63–81Captopril added, shortly thereafter switched to enalaprilat at 5 μg/kg per dose intravenously twice daily
4117–129/77–89Enalaprilat at 10 μg/kg per dose intravenously twice daily; nitroprusside at 1.5 μg/kg per min
5105–124/63–82No changes; aortogram
790–130/60–80No changes
899–158/56–89Esmolol added at 50 μg/kg per min; renal MAG3 scan
10Nephrectomy
1165–89/29–45Day 1 after nephrectomy; off all antihypertensive medications