A 6 yr old child presents with malignant hypeension. The Drug of choice is -
Ans. is 'a' i.e., Sodium Nitroprusside "The drug most commonly used to treat hypeensive emergencies is the vasodilator sodium nitroprusside" "Because of predictable, instantaneous, titratable and balanced aerio-venous vasodilator)/ action which persists without tolerance till infused, nitroprusside is the drug of choice for most hypeensive emergencies". DOC for hypeensive emergencies is calcium channel blockers (nicardipine or clevidipine). Nitroprusside is no longer preferred now.
Na Nitroprusside
Sublingual Nifedipine
Furoscmide
Enalapril