Emergency treatment for hypertension

Since hypertension can cause serious damage to the patient ‘ s brain, kidneys, etc., resulting in a threat to his or her life, medical personnel need to take timely and effective measures to safeguard the patient ‘ s life, and delays in treatment can lead to the subsequent occurrence of ill-health such as disability, death, etc., and it is therefore important that the proper emergency treatment of hypertension be carried out.I. What is hypertension?Hypertensive stress means a sudden rise in the patient ‘ s blood pressure as a result of the development of primary or secondary hypertension and of a number of dangerous factors, leading to a sudden deterioration of the condition, which leads to hypertensive cerebropathy, hypertensive threat, and corrosive complications such as heart, brain, kidney and other tissue organs arising from the effects of hypertension. At the same time, if the patient’s scalding pressure is >140 ~150 mmHg or condensed > 220 mmHg, whether or not he has symptoms, he/she is an acute hypertension condition; if the patient’s blood pressure is only moderate but there is a cerebrovascular accident, an aorexic infarction or acute pulmonary oedema, he/she is also an acute hypertension condition. Hypertensive acute diseases include hypertensive threats, anorexic layers, hypertensive cerebropathy, acute pulmonary edema, acute coronary artery syndrome, and moderate hypertension.II. Emergency treatment for hypertension(i) Principles of emergency care1. Immediate delivery of fast-activation, metabolic, pressure-relief drugs such as intravenous ulatilles and sodium nitrate.2. The average arterial pressure of the patient needs to be reduced within minutes to two hours, although it is desirable to reduce it by no more than 25 per cent, and to keep the blood pressure at a safer level within the next 2 to 6 hours, generally around 160/100 mmHg.3. Treatment of primary diseases or complications of hypertension: (1) Insurgent brain organs can be kept at about 180/110 mm/Hg during the acute phase, without pressure relief intervention, before the recovery period is completed, so that blood pressure is kept within safe levels; (2) Acute emphysema, kidney insufficiency or eclampsia, etc. (b) Acute coronary syndrome, diabetes mellitus, or urine protein: the pressure treatment is performed to keep the blood pressure at 130/80 mm mg;A combination of intravenous drops of anti-sphygmolytic drugs and oral depressants treats hypertension, which can be gradually reduced and discontinued after 5-7 half-lives of oral depressants. During treatment, the velocity of the intravenous drug needs to be adjusted to avoid excessive fluctuations in the patient ‘ s blood pressure.5. Use evidence-based medicine as a guide in the rational choice of drugs to ensure their effectiveness and safety.6. Ensuring the rationality of alignment, which makes it possible to reconcile or add to the effects, reduces the occurrence of adverse effects and also takes into account the financial situation of patients.7. De-inducing, controlling.Control of cardiovascular risk factors such as obesity, diabetes, low activity and high blood resin.(ii) Treatment of common drugs in emergency casesSodium nitrate: As an intravenous drug, it has the advantage of being effective and metabolic, with half-lives of plasma ranging from 3 to 4 minutes, with an effect of between 1 and 2 minutes, which can expand the artery and the veins, reduce respiration and reduce the heart load. The liver metabolic product is sulfcyanate, which can be excreted through the kidney, so that the side effects are low and can be used for all hypertension except eclampsia, while insufficiently functioning and low blood pressure patients need to be cautiously applied to avoid cyanate toxicity.2. Other intravenous drugs: (1) alpha-detachants: e.g. phentolamin, Uradir, etc., can be cut off from the alpha receptor, which can be used to expand the artery and reduce blood pressure. (2) Calcium-channel retardants: for example, Nica flats, which can be used to expand veins and reduce blood pressure. (3) Beta-detachants: For example, in Labelore, they can have a better effect in the treatment of hypertensive stress, which is clearly activated by the sensory nerve. (4) Nitrate glycerine: It can function as a better extended vein and can also expand the artery at large doses of static droplets, although less applied at pressure reduction.3. Careful use of medication is required in cases where the patient combines bronchial asthma, requiring careful use of beta-detoxants; combined arrhea requires careful use of gills; combined severe and narrow kidney artery requires careful use of vascular stressor I receptor, ACEI; combined kidney function does not fully require careful use of potassium urea; combined liver function does not allow for the use of Labelore; and combined diabetes requires high doses of non-selective beta retardants and urea.SummaryOverall, hypertension is a high risk and requires timely and effective blood pressure control measures for the patient to enable the patient to escape the risk in a timely manner, as well as a reasonable choice of medication to avoid new symptoms of discomfort or complications.