Hypertensive crisis - emergency care

First aid for hypertensive crisis should be immediate and be provided before the arrival of an ambulance, because this condition can lead to death or lead to irreversible consequences.

As a rule, the hypertensive crisis occurs suddenly, when "nothing foretold troubles", but in some cases it could be preceded by alcohol intake, high temperature indoors or outdoors, sudden changes in weather conditions. If the vessels are in a bad condition, and many people have such a picture after 50 years, then a sudden stress situation for the cardiovascular system may give rise to a glitch in the form of an essential hypertension.

It is also important to consider that the psychological and emotional state of the patient can also cause a hypertensive crisis: for example, prolonged stay in depression or with the development of neuroses and similar conditions significantly increase the chance of crisis.

Signs of hypertensive crisis: when to sound an alarm?

Many people have an ambulance associated with extreme cases of a serious condition, and therefore sometimes there may be some kind of psychological barrier and questions, but is it worth calling an ambulance - maybe it's possible to do it yourself with pills from a home medicine chest?

Therefore, we put the dots above "i" - the table below indicates the indices for which independent pressure control is undesirable. Take into account the measurement data also with an understanding of its normal, normal pressure.

The fact is that some people feel great even at systolic 140, although by standards this is the extreme threshold.

In hypertensive crisis, emergency medical attention is needed if high blood pressure is accompanied by at least one of the following symptoms:

• an unstable emotional state (hysteria, a sense of fear, unjustified joy);
• chills;
• edema;
• a fit of vomiting;
• dizziness ;
• deterioration of vision;
• violation of reflexes;
• numbness of limbs;
• interruptions in the work of the heart;
• Pain in the heart.

If you give an incorrect first aid to a hypertensive crisis, or if you do not give it at all, it can lead to a stroke, and then it will be a difficult task to restore all the functions.

What to do with hypertensive crisis?

The algorithm for emergency care for hypertensive crisis consists of the following items:

1. Call an ambulance. Observation from a qualified specialist is a necessity in crisis situations. If you are confident in your knowledge of how to bring down the pressure and how to behave properly in such cases, remember the folk wisdom: "one head is good, but two is better."
2. While waiting for the doctor, make sure that the patient does not walk, did not experience physical exertion, and ideally took a lying position with a slightly raised head. Raising the head is very important in this situation, it will help reduce the burden on the vessels of the brain.
3. Measure BP every 15 minutes.
4. If high blood pressure has already occurred, and the doctor has prescribed a pill to reduce it, let the patient take the appropriate medicine prescribed by the doctor earlier. Here is part of the medications for lowering blood pressure - kaptopres, nifidipine, any diuretic of easy action.
5. If the ambulance does not arrive and the pressure does not decrease within an hour after taking the drug lowering blood pressure, repeat the pill. Take care not to lower the pressure greatly, because then the patient may lose consciousness and this will cause a complication of the condition.
6. When chest pains, give the patient a tablet of nitroglycerin, which dilates the blood vessels. Know that this can be a sign of myocardial infarction.
7. If the emotional state is tense and panic occurs, give the patient Corvalolum, valeriac. Valokardine will work best.
8. Particular caution is demanded by older people. If you "heal" and greatly reduce pressure - to cause weakness, drowsiness, lethargy, dizziness and provoke insufficient blood supply to the brain, this can lead to a stroke .

The first first aid for hypertensive crisis also includes a number of regime moments:

• ventilate the room where the patient is lying, having covered it with a light veil;
• regularly record blood pressure measurements;
• Reduce the brightness of the lighting in the room;
• creating silence around the patient.