Treatment Concepts, First Aids And Hypertension
Regardless of whether or not to accept medical treatment, every hypertensive patients are required to undergo medicinal treatment to improve the way of life. Nevertheless, when deals with patients with light degree of hypertension, doctor usually recommends patients to non-medication treatment for a period to maintain their blood pressure. The non-medication treatments include salt restriction (less than 6g per day), weight control, stop smoking, low fat dietary menu, and alcohol limitation; avoid mood fluctuations and over exertion with healthy living adjustment to ensure adequate sleep and exercise.
The aims for hypertension treatment
The main purpose is to reduce cardiovascular disease, blood pressure, incidence of other complications related to human organs such as heart, brain, kidneys and so forth effectively but more importantly to reduce the rate of mortality. Another aim is to achieve the therapeutic effects for the treatment of hypertension.
For most of the patients, the systolic and diastolic blood pressure should keep below 140/90mmHg, elderly should ensure their systolic blood pressure be well below 140 mmHg or 150mg if the target of 140mmHg is hardly achieved. Hypertensive patients with diabetic and nephropathy or nephrosis (damage and disease of the kidney) should maintain their blood pressure below 130/80 mmHg.
First aids for hypertension
When encountering patients with a sudden elevated blood pressure, how would you deal with it? The following measures are for your reference:
A sudden elevated blood pressure accompanying by nausea, vomiting, severe or chronic headache, palpitation and even blurred vision, indicating that patients have suffered from hypertensive encephalopathy. In this case, patients should rest immediately on bed while serving with antihypertensive drug. Besides this drug, they should have other medications such as diuretics and sedatives to calm down their mentality disturbances. Do not panic when dealing with these patients, otherwise the condition may get worse than expected. If after this measure had taken but patients did not show any promising recoveries, then you should notify the emergency first aid centre of your local hospital immediately for the real time treatments.
Patients who experience sudden palpitation, shortness of breath, lips cyanosis (bluish lips), loss of limbs ability in physical activities, accompanying with pink bubble phlegm may indicate the occurrence of acute left ventricular failure. In this case, patients should have their legs hang down immediately by taking a sitting posture. If bags filled with oxygen is available, you should get the patients be oxygenated with this bag while waiting the arrival of the ambulance from the Emergency centre of your local hospital.
After going through a great deal of tiredness and mental exhaustion, patients may have experienced sudden pain on their hearts and chests and sometimes the pain may extend to the left shoulder or upper left extremity (consists of a large rounded head joined to the body by a constricted portion called the neck, and two eminences). This can result in pale or whitish facial appearance and cold sweating. In this case, make sure the patient rests with calm and tranquility by placing a piece of nitroglycerin on his lower tongue and subsequently ask him to breathe in oxygen. Notify the Emergency center of your nearby hospital immediately for further treatments.
If hypertensive patients experience headache, vomiting, limbs numbness or paralysis, unconscious, you should let the patients rest on bed immediately but avoid side position, make sure their heads placing towards the side to prevent the vomit substances from reentering the airway that causes patients to breathe difficultly. Notify the Emergency center of your local hospital promptly for further treatments.
Hypertensive encephalopathy is a neurologic syndrome that occurs in patients with acutely elevated blood pressure, as may be seen in association with preeclampsia, cyclosporine therapy, and renal disease. Symptoms most commonly include headache, seizures, and cortical visual disturbances.
Cyanosis is a bluish coloration of the skin due to the presence of deoxygenated hemoglobin in blood vessels near the skin surface. It occurs when the oxygen saturation of arterial blood falls below 85%. Lips cyanosis is often due to a circulatory or ventilatory problem that leads to poorer blood oxygenation in the lungs or greater oxygen extraction due to slowing down of blood circulation in the skin’s blood vessels.
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