Treatment For hypertensive emergencies, admission to an intensive care unit (ICU) and initiation of IV antihypertensive drugs (however, if an ICU bed is not available, it is best to keep the patient in the emergency department) For hypertensive urgencies, hospital admission and initiation of antihypertensive therapy (See also the American Academy of Pediatrics' 2017 guidelines for screening and management of high blood pressure in children and adolescents.)