Nursing of acute hypertension.doc

 PAGE \* MERGEFORMAT 9 Nursing of acute hypertension Hypertensive emergency is the primary or secondary hypertension in the course of the role because of some incentives, such as fatigue, nervousness, agitation, or fall in pressure caused by strong systemic small artery spasm, a sudden increase in blood pressure, brain increased vascular resistance, blood flow, causing headaches, dizziness, nausea, vomiting, pale or flushing, blurred vision, chest pain and a series of symptoms, if not promptly treated can be life threatening. Nurses should pay close attention to hypertensive emergency custody and care, blood pressure control of the disease as soon as possible to prevent irreversible damage to vital organs. For our hospital 68 patients with hypertensive emergency, intensive care and nursing, are to achieve the desired antihypertensive effect, are summarized Nursing is as follows. 1 Clinical data Hypertensive patients in this group were 68 patients, 40 patients were male and 28 girls, aged 25 to 68 years, median age 37 years, admission blood pressure 180 ~ 240/120 ~ 160 mmHg, the average systolic blood pressure (210 + -13.8 ) mmHg, mean diastolic blood pressure (130 + -12.7) mmHg, heart rate of 103 ~ 123 times / min, varying degrees of headache, dizziness, nausea, tachycardia and other symptoms. including 4 cases of heart failure, 2 cases cerebral edema, after a positive step-down, correct complications, treatment of primary disease, the whole group of patients symptoms were relieved. diagnosis: 2 cases of pheochromocytoma, the rest of primary hypertension. 2 Care 2.1 Drug treatment and care when necessary hypertensive emergency rapid decline in blood pressure. To the most suitable for intravenous administration to change at any time under the conditions of drug dose. Commonly used drugs for the SNP, can reduce heart before and after the load, not increase heart rate and cardiac cardiac output, blood pressure rapid onset, the role of stron