The following three questions are related to the same clinic…
The following three questions are related to the same clinical scenario (patient). A 63-years-old known chronic hypertensive patient was admitted to the ICU with a hypertensive crisis and a refractory blood pressure of 215/110 mm Hg. A sodium nitroprusside intravenous drip was started. After 6 hours of continuous infusion at 5mcg/kg/min, the patient became confused, tachycardic, tachypneic, and oliguric. The nurse noticed unusual skin flushing and summoned the AGACNP to the bedside. Upon assessment, the practitioner corroborates the nurse’s findings and immediately suspects: