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Hard"This is hypertensive emergency (acute target-organ injury). Guidelines recommend controlled reduction: lower MAP by ~20-25% in the first hourHypertensive Emergencyd). observation without treatment is unsafe (e)."

A 58-year-old presents with blood pressure 212/128 mm Hg, confusion, and new creatinine 2.3 mg/dL (baseline 0.9). Fundoscopy shows papilledema. What is the most appropriate immediate management target?

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