Difference between revisions of "Severe Hypertension"
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Revision as of 07:26, 10 February 2018
Section 5 -MEDICAL
5.09 SEVERE HYPERTENSION
(Systolic BP > 230 mm Hg and/or Diastolic BP > 120 mm Hg)
CONSIDER MEDICAL ETIOLOGY OF HYPERTENSIVE CRISIS AND REFER TO APPROPRIATE PRACTICE PARAMETER:
- PULMONARY EDEMA (4.11)
- CHEST PAIN / ACUTE CORONARY SYNDROME (4.01)
- STROKE PRACTICE PARAMETER (5.04)
INITIAL MEDICAL CARE (2.01) - OXYGEN only if SaO2 < 95%
- Immediate Transport
- Monitor and document BP every 5 minutes
Treat symptoms:
- IF patient is vomiting or has severe nausea, administer an Antiemetic medication as appropriate.
- IF Chest Pain refer to CHEST PAIN / ACUTE CORONARY SYNDROME (4.01)
- MORPHINE SULFATE 2-20 mg titrated to effect.
- IF Neurological deficits refer to STROKE PRACTICE PARAMETER (5.04)
