The first aid during hypertensive crisis

First aid while waiting ambulance

First aid in hypertensive crisis no substitute for medical professional help! But from the actions of the loved ones depends on General condition of the patient and the development of complications. The knowledge of the algorithm of care and the ability to promptly apply largely decides the outcome of the disease.

Sequence and principles of first aid:

1. Call the ambulance
2. Quiet man (excitation only contributes to the rise in blood pressure);
3. Put him to bed and give a semi-sitting position;
4. Make sure that the patient was breathing evenly and deeply;
5. Attach to the cold head heating pad or compress;
6. Provide oxygen (open a window, unbutton clothes);
7. Give a hypotensive agent, which the patient had previously been treated;
8. Put the tablet under the tongue captopril (or korinfar, capoten, and nifedipine, cordaflex), in half an hour if no improvement is noted and the ambulance has not arrived, you can take another drug from the list, but, in General, no more than 2 times!
9. Drip a tincture of motherwort or Valerian, Corvalol;
10. To combat feeling cold and chills overlaid patient warm heaters;
11. When the pain is behind the breastbone it is necessary to take nitroglycerin (totalling not more than 3).
12. After rendering first aid must act in the medical staff. If blood pressure decreases and the patient's condition worsens, develops chest pain and other suspicious symptoms, and you haven't called the medical team, then immediately call an ambulance. You can not procrastinate!

First aid in hypertensive crisis is always certain groups of drugs. The goal of acute treatment is to reduce blood pressure to usual levels, that is, if a person has a "working" pressure 145/90, it is not necessary to aspire to the standard 120/80. Don't forget that blood pressure reduction should be done slowly and smoothly, since sharp spikes could trigger a collapse. Also keep in mind that every drug has contraindications.

• ACE inhibitors (Enap, enam) is used usually in the form of tablets for sucking.
• Beta-blockers (metoprolol, inderal, obzidan, inderal, atenolol, labetolol) - block the receptors of blood vessels and heart, making blood clearance is increased, and the heartbeat becomes less.
• Clonidine is a strong hypotensive agent, use that with caution, because the likely sudden drop in blood pressure.
• Medicine muscle relaxant action (Dibazol) – causes relaxation of the arteries, this pressure is reduced.
• Calcium channel blockers (nimodipin, cordipin is applied whenarrhythmia and angina.
• Diuretics (lasix, furosemide) – decreases the pressure by increasing sodium excretion, reducing vascular tone and the reduction of BCC.
• Nitrates (nitroprusside) – expand the lumen of the artery.

Usually drugs are used in the form of injections and tablets for sucking, because hypertensive crisis there is often vomiting and the use of oral drugs ineffective.

Complications of hypertensive crisis

With a strong increase in blood pressure may cause complications:

• stroke;
• angina;
• myocardial infarction.

Also can develop coma, pulmonary edema, acute heart failure, encephalopathy, eclampsia, bleeding and arrhythmias.

It's not all complications, a lot of them and all are threatening human life, so from time to provide first aid depends very much.