Mean Arterial Pressure (MAP) calculator, for use in any situation, but particularly useful for hypertensive emergencies.
Septic shock: MAP goal ≥ 65 mmHg
Hypertensive emergency goal BP's, by cause:
- Aortic dissection: immediate BP and HR control
- SBP 100-120 or MAP 60-75
- HR 60-70
- BP > 160 / 110 with evidence of end-organ damage → general goal to reduce MAP 25% ± 5% over 24hrs
- Pulmonary edema: reduce MAP 20-30%
- Myocardial infarction: reduce MAP < 30%
- Acute renal failure: reduce MAP < 20%
- Intracerebral hemorrhage: reduce MAP to 110-130
- Subarachnoid hemorrhage: reduce SBP < 160
- Encephalopathy: reduce MAP 15-20%
- Eclampsia, severe pre-eclampsia: reduce SBP < 160/110
Tintinalli, Judith. Tintinalli's Emergency Medicine. The McGraw Hill Companies, Inc. 7th ed. 2011.