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Hypertensive emergency is defined as a severely elevated diastolic  blood pressure (>120mmHg) in the presence of target-organ damage.   Please read the attached article for an overview of target-organ  damage.

Sharma, S., MD., Anderson, C. PharmD., Sharma, P., MD., Frey, D., MD. (2021).

Management of hypertensive urgency in an urgent care settingLinks to an external site.


The Journal of Urgent Care Medicine




You have a 57-year-old mixed-race male (black and Asian) who comes  into your office for a screening to participate in a study to evaluate  the effectiveness of a home cervical traction device on neck pain and  intervertebral disc space.  He has a history of neck pain and was  diagnosed six years ago with spinal stenosis at the C5-C6 level.

During the screening, the gentleman is found to have a BP of  217/109.  When you question him about this BP measurement he reports to  you that he knows that his blood pressure has been in that range for  about the last decade.  He reports he has not seen a health care  professional about his elevated blood pressure and does not have a  health care professional that he sees on a routine basis.  He is a  healthcare professional at the provider level.

Based on the blood pressure measurement he does not meet the  inclusion criterion for the cervical traction device research study.

Please develop a discussion that responds to each of the following  prompts.  Where appropriate your discussion needs to be supported by  scholarly resources.  Be sure to include in-text citations in the  context of the discussion and provide a full reference citation at the  end of the discussion.

Discussion Prompt

Utilize the information provided in the scenario to create your discussion post.

Construct your response as an abbreviated SOAP note (









Structure your ‘P’ in the following format:  [NOTE:  if any of the 3  categories is not applicable to your plan please use the ‘heading’ and  after the ‘:’ input N/A]


pharmacologic interventions, if any – new or  revisions to existing; include considerations for OTC agents  (pharmacologic and non-pharmacologic/alternative); [optional – any other  therapies in lieu of pharmacologic intervention]


: health information clients need in order to  address their presenting problem(s); health information in support of  any of the ‘therapeutics’ identified above; information about follow-up  care where appropriate; provision of anticipatory guidance and  counseling during the context of the office visit


: if appropriate – collaborative  ‘Advanced Care Planning’ with the patient/patient’s care giver; if  appropriate -placing the patient in a Transitional Care Model for  appropriate pharmacologic and non-pharmacologic care; if appropriate –  consult with or referral to another provider while the patient is still  in the office; Identification of any future referral you would consider  making

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