What is Hypertensive Crisis and How is it Managed?

hypertensive crisis is a sudden increase in blood pressure in hypertensive patients outside 250/150mmHg. onset is usually with little or no warning signs, and is characterized by severe headache, nausea, vomiting, dizziness, visual disturbances, and disorientation. In some cases, these symptoms are accompanied by cerebral spasm, which brings about cerebral ischemia, edema, and thrombosis. Hypertensive crisis is such a dangerous medical condition that emergency medical intervention will be necessary to save patients lives. It is, therefore, urgent medical assistance.

hypertensive crisis is managed through the administration of government as a vasodilator hydralazine (Apresoline) intravenously to help dilate blood vessels, and a diuretic such as furosemide (Lasix) intravenously to help to help patients lose excess fluid and sodium.

patients should be put on strict bed rest and vital signs, blood pressure, pulse and breathing monitor every 5-10 minutes. His neurological signs should also be monitored. The patient's fluid intake and output should also be monitored to determine the level of progress. the possibility of acute hypotensive response is quite high as a result of anti-hypertensive drugs because the patient must be strictly monitored and must not rise abruptly from the bed.

Everything is medically possible must be done to see if the patient does not suffer any further stress as it is able to make the patient suffer more complications such as stroke. Therefore, the patient should be keep in a quiet environment with visitors limited to allow for both physical and mental relaxation and aid a speedy recovery. His physical needs taken care of by nurses.