Table 2.

Hypertension management protocol (routinely followed protocols across Pakistan)

Hypertension management protocol
12.	Please carry out the following orders as appropriate	Yes	No	Date and time
13.	If systolic BP>185 mm  Hg or diastolic BP>110 mm  Hg for ≥2 readings taken 5–10 min apart, use hypertension management protocol
14.	If systolic BP>185 mm  Hg or diastolic BP>110 mm  Hg, treat with labetalol bolus or infusion
15.	Give: IV labetalol 10–20 mg over 1–2 min
16.	If still elevated after 10–15 min:The dose may be repeated every 10–15 min up to a total of no more than 300 mg/24 hours or give labetalol initial loading dose followed by infusion at 2–8 mg/min
17.	Hold treatment if BP<185/110 mm  Hg

BP, blood pressure; IV, intravenous.