Hypertensive crisis: emergency care, symptoms, treatment

The term hypertensive crisis refers to a sharp and sudden increase in blood pressure, and a jump can reach up to 220/120 mm Hg. Post and sometimes raise even higher.

The biggest danger of a crisis is that with the untimely assistance provided, the disease can lead to irreversible disorders of the heart muscle. Here hurt and get damage to large blood vessels and the Central nervous system as a whole.

Important! However, in modern medical practice, such cases are extremely rare, as the equipment of ambulances and modern hospitals to minimize the consequences of the crisis.

However, at elevated pressure the recommended treatment to the doctor, because a hypertensive crisis can last a few hours, and sometimes days, the patient experiences permanent physical and psychological discomfort.

The causes of the crisis

Before you approach the symptoms and hypertensive crisis, consider the causes that can trigger it:

• Serious emotional stress. It's not so much stress, how much instant tension, quarrel, scandal.
• One-time excessive consumption of alcoholic beverages.
• Sharp MENA weather. Weather dependent some patients leads to serious spikes in blood pressure.
• The intake of certain medications, especially clonidine or beta-adrenoblokatoram.

All external risk factors, however, a hypertensive crisis can be a consequence of certain diseases, these include:

• Almost all of kidney disease.
• The defeat of the aorta.
• Polyarteritis nodosa.
• Diabetes.

Important! All these diseases do not cause high blood pressure directly, but they lead to swelling of the brain, and this increases the pressure.

The symptoms of a crisis

Let's start with an interesting moment in the conversation of hypertensive crisis, which suggests that urgent help is needed here, because of the extremely unpleasant symptoms of the disease.

Note the major symptoms that bring the patient into a state of extreme discomfort:

• A strong feeling of fear that goes into a panic attack.
• A constant concern for the most insignificant reason.
• You may receive chills.
• There is a marked swelling of the face, which are accompanied by partial loss of vision.
• The patient may vomit and cause severe vomiting.
• There are also neurological manifestations.

Among the nonspecific symptoms and the clinical picture, we note that AD can lead to worsening of ischemic heart disease, the appearancetachycardia, sometimes severe pain.

There is also a complicated course of the crisis, when it takes place against the background of pulmonary edema, coma, acute renal failure. Sometimes the symptoms point to jump from, and systolic and diastolic blood pressure. In this case, assistance should be given to the patient as quickly as possible to avoid serious complications.

Hyponatermia and eukinetic crises can be classified as more lung problems, with symptoms developing slowly and the patient always have enough time to get medical assistance.

Emergency care in crisis

As hypertensive crisis develops quickly enough, you need to know about how to stop a sharp jump in HELL.

First called the ambulance. Then

Note that the cupping crisis should be gradual, as sudden decrease in blood pressure, as his sharp rise is dangerous to health.

Treatment when the crisis involves the use of the following drugs:

• Clonidine. The initial dosage is 0.2 mg for each hour, after the removal of the high pressure the drug is taken in a dose of 0.1 mg.
• Nifedipine. The tablet is taken under the tongue.
• Nitroprusside sodium intravenously.
• Phentolamine. The drug is also administered intravenously in a dose of 5-15 mg. note that it displays high performance in mild AD, particularly in those cases. If the crisis was caused by the activities of pheochromocytoma.