Conversation: The conversation between human and AI assistant.
[|Human|] 49 yr old female, 135lbs, history of high bp was stable at 135/84... recent sudden severe headache w/ nausea found bp to be 200/110-- been on toprol 50 mg 3 days increased to 100mg 3days bp still averaging 185/110- shouldnt i see improvement in bp on these meds by now?
[|AI|]  According to JACK blood pressure is categorized as-Normal b.p less than 120/80Prehypertensive state - 120-139/80-89Grade 1 (mild hypertension)-140-159/90-99Grade 2 (moderate hypertension)-160-179/100-109Grade 3(severe) - above 180/110You fall in category of severe hypertension medically its called hypertensive emergency, medicine will be administered to you intravenously, once BP is settled you will be shifted to oral medicine, to prevent end organ damage immediate intravenous (IV) parenteral therapy is required, consult ER.