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I'd be cautious about treating someone's blood pressure before a definitive diagnosis of a hypertensive urgency/emergency, and ruling out alternatives like a hemorrhagic or ischemic stroke. Even then, you are aiming for a 10-20% max reduction in the MAP over the first hour which might be difficult to do outside of an ICU or stepdown environment. I agree with treating the nausea and pain first and then reassessing blood pressure afterwards.1 point