Treating hypertensive crisis: Immediate treatment is necessary. Why? It is a matter of time...

Author:
Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker

The basis is immediate treatment  - immediately after diagnosis. 

The aim is the  prevention of complications in terms of a serious threat to health and life. The idea is to keep the vital organs that are the first to suffer in the event of a hypertensive crisis.

In addition to blood flow to the brain, heart, and lungs at such high blood pressure levels, there are various negative changes in the body. What is the help of effective treatment?

In the event of serious difficulties, it is important to call for help and protect the victim  from physical and mental stress .

In this case, the emergency medical service begins treatment. Alternatively, if a person is able and seeks treatment himself, then a general practitioner or a doctor in an internal medicine clinic or an emergency room.

Looking at the form:

It is usually sufficient to treat the urgent condition with a tablet form, and thus with oral antihypertensives - oral treatment. Treatment should take place within a few hours of the onset of the problem.

Vice versa.

The emergency form requires necessary and urgent immediate treatment, which should be provided within one hour of onset. Usually requires intravenous access (iv) a parenteral treatment (treatment administered outside the intestinal tract).

Several hours of follow-up, vital signs monitoring, and repeated blood pressure measurements are required. In this case, hospitalization in an intensive care unit is most appropriate.

Blood pressure can never be reduced from hypertension to normal  BP values ​​of 120/80. As with such a significant decrease, a vascular disorder of vital organs can occur.

Safe values are given in the range of diastolic blood pressure : dTK 100 - 110 mm Hg . Alternatively, 20% of baseline blood pressure prior to treatment.

In addition to antihypertensives, other drugs are used according to the associated difficulties. 

In children, the procedure is basically the same. However, greater emphasis is placed on the gradual and continuous reduction of hypertension. Too rapid normalization of blood pressure would reduce the blood flow to vital organs.

It approaches normal values ​​within 12 - 48 hours.

Prevention is important

As with hypertension, prevention is important and should involve several principles.

Principles belonging to prevention:

  • adherence to treatment in high blood pressure
  • blood pressure monitoring
  • salt intake restriction
  • weight reduction in overweight and obesity
  • maintaining the correct bodyweight
  • limit alcohol
  • quit smoking
  • reduce stress levels
  • regular physical activity and a suitable way of exercising
    • Cycling
    • swimming
    • gymnastics
    • pilates, yoga, and others
    • walking - daily
  • rational nutrition
    • plenty of vegetables and fruits
    • dietary fiber
    • drinking regime

Simply put: Adherence to the intervention of a healthy lifestyle .

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Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker
The secondary medical school in Nitra gave me the basis for my career in the field of health and diseases. Thanks to it, I worked for 2 years in the traumatology clinic and outpatient clinic at the Nitra Hospital. Since 2006 I was employed in the emergency medical service, where I stayed until 2017. I completed my bachelor's degree at the University of Constantine the Philosopher in Nitra in the field of emergency health care. The bachelor's degree allowed me to continue my mission as a paramedic. In the meantime, I got a job at the emergency line 155. I have been working in pre-hospital health care until today. I had an interest in people, health and even diseases in my childhood, which gave me the prerequisite to pursue this topic in adulthood. Studying and acquiring new information in practice provided me with a great basis for writing professional texts, in the form of articles that can be understood by ordinary people. Thus, my interest in the Health Portal has a solid foundation in years of practice and personal interest. Similarly, I am also interested in healthy eating, nutrition and overall healthy lifestyle. I fill my free time with family and sports.
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