High blood pressure running surrounded by hospital?
i would like to ask what is the immediate care/mangement for patient whose blood pressure is 250/140mmhg upon permission plus he is feeling confused, restless and complain of severe headache and blurred vision??
Answers:
Clint almost has the right answer. It's a seemingly small but important point: you're treating the hypertensive encephalopathy, which is an emergency, not the blood pressure. I say aloud this, because N is dead wrong: there is no blood pressure reading, even as dramatic as this, that constitutes an emergency unless there is acute end-organ spoil. Lowering blood pressure rapidly is quite dangerous, carrying beside it a risk of about 1% of serious adverse effects, such as stroke or heart attack, and that's much greater than the risk from asymptomatic severe hypertension. But here you aren't treating severe hypertension, you're treating encephalopathy. Good job and a thumbs up for Clint!
The second responder is right on. My parenteral antihypertensive agent of choice for a hypertensive emergency is a nicardipine drip, if available. Nitroprusside has fall out of favor due to the potential for toxicity. Boluses of labetalol or Vasotec are helpful, but they do not cause a sustained effect. If the patient remains encephlopathic after the blood pressure is lowered to a secure level, a CT brain is mandatory to exclude intracranial hemorrahge. Source(s): My remote medical training.
i had basically been going to answer this question when you asked it before (had it surrounded by my watchlist) but unfortunately you have removed it. this is probably a better title anyway.
immediate treatment would be drugs to try and bring the bp lower, strict bed rest, monitoring. a entity with a bp of this reading is running a very high risk of a heart attack, stroke etc which could eliminate them.
the confusion, restlessness, blurred vision and headaches are caused by the pressure on adjectives the blood vessels in the head and brain.
if the long-suffering is overweight they will be put on a weight loss diet and counselled on this and what exercise to do, also encouraged to give up drinking and smoking if they do that.
after discharge from hospital they will probably be given medication to try and preserve it at a reasonable level and need constant follow up and monitoring. some times it can pocket a while to find the right medication to maintain a healthy level.
if within are no obvious reasons for the rise, such as lifestyle then a doctor may directive other tests to try and find a possible cause. Source(s): R
IV antihypertensive medications to without risk bring his BP back into a normal range. These symptoms are due to severely elevated BP.
A BP of 250/140 is considered a hypertensive emergency as such soaring pressures can cause stroke or heart attack and have devastating effects. Source(s): PA
Related Questions:
Liver transplant. Adult to kid or vice versa?
What medical pen should I walk into?
Can taking your blood pressure too regularly be risky?
Answers:
Clint almost has the right answer. It's a seemingly small but important point: you're treating the hypertensive encephalopathy, which is an emergency, not the blood pressure. I say aloud this, because N is dead wrong: there is no blood pressure reading, even as dramatic as this, that constitutes an emergency unless there is acute end-organ spoil. Lowering blood pressure rapidly is quite dangerous, carrying beside it a risk of about 1% of serious adverse effects, such as stroke or heart attack, and that's much greater than the risk from asymptomatic severe hypertension. But here you aren't treating severe hypertension, you're treating encephalopathy. Good job and a thumbs up for Clint!
The second responder is right on. My parenteral antihypertensive agent of choice for a hypertensive emergency is a nicardipine drip, if available. Nitroprusside has fall out of favor due to the potential for toxicity. Boluses of labetalol or Vasotec are helpful, but they do not cause a sustained effect. If the patient remains encephlopathic after the blood pressure is lowered to a secure level, a CT brain is mandatory to exclude intracranial hemorrahge. Source(s): My remote medical training.
i had basically been going to answer this question when you asked it before (had it surrounded by my watchlist) but unfortunately you have removed it. this is probably a better title anyway.
immediate treatment would be drugs to try and bring the bp lower, strict bed rest, monitoring. a entity with a bp of this reading is running a very high risk of a heart attack, stroke etc which could eliminate them.
the confusion, restlessness, blurred vision and headaches are caused by the pressure on adjectives the blood vessels in the head and brain.
if the long-suffering is overweight they will be put on a weight loss diet and counselled on this and what exercise to do, also encouraged to give up drinking and smoking if they do that.
after discharge from hospital they will probably be given medication to try and preserve it at a reasonable level and need constant follow up and monitoring. some times it can pocket a while to find the right medication to maintain a healthy level.
if within are no obvious reasons for the rise, such as lifestyle then a doctor may directive other tests to try and find a possible cause. Source(s): R
IV antihypertensive medications to without risk bring his BP back into a normal range. These symptoms are due to severely elevated BP.
A BP of 250/140 is considered a hypertensive emergency as such soaring pressures can cause stroke or heart attack and have devastating effects. Source(s): PA
Related Questions: