Abstract: Hypertensive crisis is when blood pressure increases very rapidly. Blood pressure rises to 180mmHg/120mmHg or greater. A drastic increase in blood pressure can damage the blood vessels. Some vessels may become inflamed and others may leak fluid or blood. Due to damage of blood vessels, the heart may not pump blood effectively. Hypertension crisis can present as hypertension urgency or as hypertension emergency. This article will review the clinical features, diagnosis, and management of Hypertension crisis.
Introduction:
Hypertension is a common disorder in modern Western societies, with an age- and sex-adjusted prevalence of approximately 28% in North America. Physicians in clinical practice will encounter patients with hypertensive urgency and emergency. The improved management of chronic hypertension has decreased the lifetime incidence of hypertensive crisis to less than 1%. Although there has been improved management of chronic hypertension, patients presenting with severe hypertension represent up to 25% of all patients presenting to urban emergency departments.
Definition:
A blood pressure reading of 180mmHg/120mmHg or higher is considered a hypertensive crisis. Hypertensive crisis is divided in to two categories. The two categories are hypertensive urgency and hypertensive emergency. In hypertension emergency, the blood pressure is extremely high and there is damage to the organs. Organs that are damaged are the brain, heart, kidneys, and eyes.
Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.
Hypertension is sometimes referred to as the silent killer (Aycock, Kirkendoll, & Gordon, 2013). Today it is a public health problem. According to the American Heart Association 2013 Statistical Fact Sheet (2013), one out of every three adults has high blood pressure, which is estimated at 77.9 million people (AHA, 2013). High blood pressure is also referred to as hypertension. Hypertension is a prevalent medical condition that carries with it the risk factor for increased chances of heart disease and stroke (Gillespie & Hurvitz, 2013). Hypertension remains one of the top 10 causes of worldwide disability-adjusted life years (as cited in Drenjančević-Perić et al., 2011). For the estimated 348, 102 deaths in 2009, high blood pressure was listed as the primary or contributing cause of death (AHA, 2013). Despite the health risk associated with hypertension, the diagnoses of high blood pressure continue to rise. By 2030, hypertension is expected to increase by 7.2% from 2013 estimates (AHA, 2013).
Approximately 50 million people in the United States are affected by hypertension and approximately 1 billion worldwide.
Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive emergency in their life. (1,2)
Approximately every year, 3 million people are diagnosed with hypertension. Hypertension, also known as high blood pressure occurs when the force of the blood travels through the blood vessel increasingly, more than what is considered healthy (Chronic Disease Management and Control Branch 3). High blood pressure is sometimes called the “silent killer” because there are no symptoms. Overtime, an uncontrolled high blood pressure can cause life threatening damages to important organs in the body. When the heart beats, it pumps the blood throughout the body to give it the energy and oxygen it needs. As the blood moves through the body, it pushes against the sides of the blood vessels. The strength of this push is called the blood pressure. Blood pressure is measured by a systolic over diastolic pressure. Systolic refers to the pressure when the heart is beating, and the diastolic refers to the pressure when the heart rests between beats. According to a peer-reviewed article written by the MedlinePlus called “Hypertension,” a good blood pressure reading is 120/80 mmHg. Any blood pressure over the rate of 140/90 is considered hypertension. A constant high blood pressure needs to be maintained and check regularly. An uncontrolled or undetected hypertension can silently damage vital organs of the body affecting the heart, brain, and kidneys.
According to the Centers for Disease Control and Prevention (CDC) (as cited in Kear, 2015), hypertension is a common, long term health condition that affects over one billion people worldwide and 76.4 million adults in the United States. Hypertension is classified as having a systolic blood pressure of or greater than 130 mmHg and a diastolic blood pressure of or greater than 90 mmHg (Kear, 2015, p. 182). As a nurse you will encounter many patients that are hospitalized with hypertension and co-morbidities related to. As this is a chronic disease, patient compliance, prognosis, and future healthcare cost are contingent upon treating this issue as it can significantly affect the patient overall health status. Hypertension is a “silent killer” as many people are living with hypertension and are unaware of having this disease process. The cause of hypertension may be multi dynamically related to lifestyle risk factors such as, diet, exercise, familial history, stress, occupation, and the list goes on. Managing hypertension is a multifaceted approach as it consists of a collaboration with multiple healthcare providers the doctors, nurses, dietitian, the patient, the family, as well as other environmental factors that affect compliance and adherence (Kear, 2015). Hypertension can lead to several debilitating diseases such as heart attack, stroke, blindness, kidney failure just to name a few and it should be monitored and treated early to prevent any
Hypertension is a chronic condition that affects an immense amount of people across different ages, genders, ethnicities, and health statuses. With 65 million diagnosed individuals in the US, it is the most common patient motivation to visit a physician and accounts for the largest number of prescriptions written in the country.1,2 Risk factors for disease development include unpreventable circumstances such as age and genetics in addition to modifiable behaviors such as obesity, dietary sodium intake, and physical inactivity.2 Attributing a single causative agent to hypertension poses a challenge as arterial pressure is a stem from which multiple physiologic functions and systems branch. While most documented cases (more than 95%) are
Hypertension is a very common condition that affects many people in the world . Hypertension is also known as high blood pressure and it is when your blood pressure is above normal. Around 75 million people in the world suffer from hypertension. Hypertension can affect anyone in the world. That shows how common this condition really is. Hypertension happens when the body's smaller blood vessels narrow, which causes the blood to have a lot of extra pressure against the vessels wall, which makes the heart work harder. High blood pressure is usually identified when the blood pressure succeeds 140 over 90 while the normal average blood pressure is 120 over 80. This is bad for the heart because too much pressure can lead to other conditions like
Hypertension, most commonly known as high blood pressure, is a disease that occurs when the force of blood flow against the walls of the arteries is too great, causing an unhealthy stretching of the walls and strain on the heart. Approximately 80 million U.S. adults have been diagnosed with having this disease, making it extremely common. Although symptoms are typically not present, hypertension is a very dangerous condition and can have a deadly effect if not prevented or treated in a timely manner.
Hypertension is an acute and life-threatening condition that requires prompt treatment and is highly evaluated in urgency (Neutel & Campbell, 2009). Hypertension is a condition that increases the risk of stroke and heart disease. Approximately 40% of the US population had hypertensive disease during 2011 to 2014, and the condition was not under control in about 65% of those affected (Roger, Go, &Lloyd-Jones, 2015).
The purpose of this paper is to examine through research hypertension in adults in the United States of America (USA) and England. Part A will discuss how nurses deal with hypertension management in the USA and England. Part B will review different studies regarding hypertension. The reviews will provide information regarding the management of hypertension in the USA and in Spain. Part C will summarize what has been discussed and what was found in the reviews. Part C will also explore what else could be researched on hypertension.
Hypertension (high blood pressure) is a common worldwide condition that is often asymptomatic and often undetected. When the left ventricle contracts it forces blood up and into the aorta distributing oxygenated blood throughout the body. The arterial pressures are exerted for this to occur effectively. Pressures rise and fall in response to baroreceptors that make note of the filling and emptying chambers of the heart. Systolic pressure should measure 120 mm Hg and diastolic 80 mm Hg. The difference between
High blood pressure is one of the most common health issues across the nation that needs attention in your regular doctor visits. Sometimes this health problem is called the "silent killer." Some ways hypertension can come about is from family history, sodium, and obesity. What I was unaware of that you could have hypertension at a young age. At 20 years I was told by my doctor, I had a moderate case of hypertension. I was giving medication to prevent my blood pressure from skyrocketing. At this point, I knew I had to watch my diet, set regular doctor appointments, and start exercising more.
Hypertension is a dangerous disease which is spread all over the world. Hypertension is a warning sign for peripheral resistance. Hypertension is considered when blood pressure is over 140/85 mm Hg. Higher levels of diastolic pressure are more important clinically because it reflects the narrowing of the arteries. Even though hypertension is usually non symptomatic for first 10 or 20 years, it gradually destroys the arteries.
The two major types of hypertension are primary and secondary. Primary hypertension accounts for more than 90% of all cases and has no known cause, although it is hypothesized that genetic factors, hormonal changes, and the altercations in sympathetic tone all may play a role in its development. Secondary hypertension develops as a consequence of an underlying disease or condition. The prevention and treatment of hypertension is a major public health issue. When blood pressure is controlled, cardiovascular, renal disease, and stroke may be prevented. The JCN, reported more than 122 million individuals in American are overweight or obese, consume large amounts of dietary sodium and alcohol, and do not eat adequate amounts of fruits and vegetables; less than 20% exercise regularly. Both modifiable and non-modifiable factors play a role in the development of hypertension