What is the key to emergency management of hypertensive crisis?
Today I was taking the nursing qualification exam and got stuck on a question. The question was asking about the key to emergency management of hypertensive crisis. I just couldn't recall the answer, so I wanted to ask, what is the key to emergency management of hypertensive crisis?
Doctor's answer (1)
Hypertensive crisis is a serious medical emergency characterized by a sudden and extreme elevation in blood pressure, often accompanied by acute damage to target organs such as the heart, brain, kidneys, and retina. The key to emergency management is rapidly lowering blood pressure to prevent or minimize organ damage. Specific measures are as follows:
1. Prompt blood pressure reduction: In cases of hypertensive crisis, blood pressure rises sharply and immediate measures are required to lower it. Intravenous antihypertensive medications, such as sodium nitroprusside or urapidil, are typically used due to their rapid onset of action.
2. Continuous monitoring: During the process of blood pressure reduction, continuous monitoring of blood pressure and vital signs, such as heart rate and respiration, is necessary to ensure patient safety.
3. Targeted treatment: Management should also address complications that may arise from hypertensive crisis, such as acute left heart failure, cerebrovascular accidents, and acute kidney injury.
4. Long-term management: Once the acute phase is stabilized, patients should transition to long-term hypertension control strategies, including lifestyle modifications and pharmacological therapy, to prevent future crises.
