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BCEN CFRN Practice Question

Which of the following is the primary goal in the blood pressure management of a patient with acute aortic dissection?

To maintain the heart rate within a normal range
To alleviate the patient’s pain
To optimize the patient's blood pressure for adequate perfusion
To lower blood pressure to minimize shear stress on the aorta

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Answer Description

The primary goal in the blood pressure management of a patient with acute aortic dissection is to lower blood pressure to minimize shear stress on the aorta. This helps prevent the dissection from worsening. Beta-blockers are commonly used for this purpose because they effectively reduce both heart rate and blood pressure, thereby lowering shear stress. Although alleviating pain and maintaining normal heart rate are significant, they are secondary to the priority of reducing blood pressure.

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