hypertension n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Hypertension PowerPoint Presentation
Download Presentation
Hypertension

Loading in 2 Seconds...

play fullscreen
1 / 8

Hypertension - PowerPoint PPT Presentation


  • 133 Views
  • Uploaded on

Hypertension. Phone Call. Why is patient in hospital? Is patient pregnant (preeclampsia)? How high is BP and what has it been previously?. Phone Call. Does the patient have symptoms of hypertensive emergency? Chest/back pain: aortic dissection Chest pain: MI SOB: PE

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Hypertension' - bree


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
phone call
Phone Call
  • Why is patient in hospital?
  • Is patient pregnant (preeclampsia)?
  • How high is BP and what has it been previously?
phone call1
Phone Call
  • Does the patient have symptoms of hypertensive emergency?
    • Chest/back pain: aortic dissection
    • Chest pain: MI
    • SOB: PE
    • Headache, neck stiffness: subarachnoid hemorrhage
    • HA, vomit, confusion, seizure: hypertensive encephalopathy
  • What antihypertensive has the patient been on?
thoughts
Thoughts
  • Benign
  • Hypertensive urgency: SBP>210 or DBP>120 with no end organ damage
  • Hypertensive emergency: end organ damage
  • Life threatening:
    • Eclampsia
    • Aortic dissection
    • Pulmonary edema
    • MI
    • Hypertensive encephalopathy
bedside evaluation
Bedside Evaluation
  • Vitals
    • BP in both arms: if atherosclerosis artifactually low, aortic dissection
    • HR: tachycardia in catecholamine crisis, bradycardia in increased intracranial pressure
  • Symptoms of hypertensive emergency?
bedside evaluation1
Bedside Evaluation
  • HEENT: arteriolar narrowing, hemorrhages, papilledema
  • Lung: crackles, pleural effusions
  • CV: elevated JVP, S3
  • Neuro: confusion, delirium, agitation, focal deficits
management
Management
  • Essential hypertension:
    • In asymptomatic patient no acute lowering of BP needed
  • Hypertensive urgency:
    • Decrease MAP 25% in hours (can use PO meds)
  • Hypertensive emergency:
    • Call your senior-transfer pt to ICU/CCU
    • Decrease MAP 25% in minutes to 2 hours using IV agents
management1
Management

IV Agents

PO Agents

*Cyanide toxicity-ms change,lactic acidosis, death