This website uses cookies to ensure you have the best experience. Learn more

Hypertensive Emergency Essay

2384 words - 10 pages

-------------------------------------------------
Hypertensive emergency
From Wikipedia, the free encyclopedia
A hypertensive emergency is severe hypertension (high blood pressure) with acute impairment of an organ system (especially the central nervous system, cardiovascular system and/or the renal system) and the possibility of irreversible organ-damage. In case of a hypertensive emergency, the blood pressure should be substantially lowered over minutes to hours with an antihypertensive agent.
Contents [hide] * 1 Treatment * 2 Incidence * 3 Definition * 3.1 Hypertensive emergency as a generic term * 4 Pathophysiology * 5 Mortality * 6 Clinical history * 7 References ...view middle of the document...

Individuals with a history of chronichypertension may not tolerate a "normal" blood pressure.
-------------------------------------------------
[edit]Incidence
Hypertensive crisis affects upward of 500,000 Americans each year. Although the incidence of hypertensive crisis is low, affecting fewer than 1% of hypertensive adults, more than 50 million adult Americans suffer from hypertension.[2]
According to a research published in 2006, hypertension prevalence is again on the rise with 28.6% of the U.S. population suffering it in 1999-2002. According to the study, incidence rates of hypertension range between 3% and 18%. These numbers depend on the age, gender, ethnicity, and body size. [3]
According to Whelton, the incidence and prevalence of hypertension is about 50% higher in African-American adults than in white or Mexican-American populations. Also, Whelton adds that prevalence of hypertension has increased progressively in children and adolescents between 1988-2000. According to the study recent estimates indicate that approximately 1 billion adults have hypertension. The highest prevalence of hypertension is in Eastern Europe and the Latin American/Caribbean region. [4]
As a result of the use of antihypertensives, the incidence of hypertensive emergencies has declined from 7% to 1% of patients with hypertension. The 1 – year survival rate has also increased. Before 1950, this survival rate was only 20%, and it is now more than 90% with the proper medical treatment. Hypertensive crises affect less than 1% of hypertensive adults in the United States. [5]
Hypertensive crises more commonly occur among African-Americans and the elderly. Most patients who experience hypertensive crises have previously been diagnosed as hypertensive. Many of such patients have been prescribed antihypertensive therapy , but have inadequate blood pressure control. [6]
Estimates indicate that approximately 1% to 2% of patients with hypertension develop hypertensive crisis at some point in their lifetime. Men are usually more affected by hypertensive crises thanwomen.
The incidence of hypertensive crises has increased and hospital admissions tripled between 1983 and 1990, from 23,000 to 73,000 per year in the United States. The incidence of postoperative hypertensive crisis varies and such variation depends on the population examined. Most studies report and incidence of between 4% to 35%. [7]
-------------------------------------------------
[edit]Definition
Terminology[8] | Systolic Pressure (mm Hg) | Diastolic Pressure (mm Hg) | Text |
Normal | < 120 | < 80 | |
Pre-hypertension | 120-139 | 80-89 | |
Hypertension Stage 1 | 140-159 | 90-99 | |
Hypertension Stage 2 | ≥ 160 | ≥ 100 | |
Hypertensive Crisis | ≥ 180 | ≥ 120 | |
Hypertensive Emergency | ≥ 180 | ≥ 120 | With signs of acute organ damage. |
The term hypertensive emergency is primarily used as a specific term for a hypertensive crisis with a diastolic blood pressure greater...

Other Papers Like Hypertensive Emergency

Professional Roles And Values Essay

3060 words - 13 pages , offer continuing education and specialty certifications. Critical PROFESSIONAL ROLES AND VALUES 2 Care Nurses Association, Emergency Nurses Association and the American Psychiatric Nurses Association are examples of Professional Nursing Organizations. They function as distinguished clubs that offer a national and sometimes international networking platform. The Tennessee Nursing Association is a Professional Nursing Organization and

Health and Sanitation in Africa Essay

2980 words - 12 pages proper sanitation or indeed the incomes necessary to achieve adequate levels of nutrition. The causes for maternal mortality includes: hemorrhage or bleeding, infection, unsafe abortion, hypertensive disorders, or obstructive labor. A woman who has gone through infibulation, which is a form of genital mutilation, has a greater risk of obstructive labor. Conditions such as anemia, diabetes, malaria, and sexually transmitted diseases can increase a

Cardiovascular Sciences

3526 words - 15 pages sound (S4): * Occurs just before S1. * Always pathological – represents atrial contraction against a stiff, non-compliant ventricle. * Several cause e.g. hypertensive heart disease, aortic stenosis. * When auscultating thing ‘Tennessee’ for the rhythm. Cardiac murmurs Consider any murmur in terms of character, timing, loudness, area where loudest, radiation and accentuating manoeuvres. When in doubt, rely on

Freedom And Responsibility

2141 words - 9 pages Built within the Constitution of the United States are specifically defined freedoms that are guaranteed to all citizens. Conversely, with every constitutional freedom there comes a corresponding responsibility. On September 25, 1789, the state legislature’s twelve proposed amendments were transmitted by congress, the first two dealing with congressional representation and congressional pay. The following numbers three through twelve were

Hate Crime Laws

2348 words - 10 pages On June 7, 1998, 49-year-old James Byrd Jr. of Texas accepted a ride from three white men, who then beat him severely, urinated on him, chained him by his ankles to the back of their pick-up truck, dragged him for three miles into the countryside, and dumped his corpse in front of an African-American cemetery (Graczyk). A little over a year later, a jury sentenced ring leader John King to death by lethal injection (“Man Executed for Dragging

Rational Emotional Behavior Therapy Case Study Conceptualization And Treatment Plan

2140 words - 9 pages Rational Emotional Behavior Therapy Case Study of Sarah: A Conceptualization and Treatment Plan Rational emotive behavior therapy, REBT, was developed by Albert Ellis and holds the central belief that the events in our lives do not cause our disturbances but that they are instead caused by our view of the events (Murdock, 2009). Murdock (2009) states that “people are seen as responsible for their behavior” (p. 279) but, because they are

Holidays In Albania

1636 words - 7 pages Have you ever thought about having exciting and incredibly cheap vacations? Albania might be the right choice. According to My Travel Guide, Albania is ranked the fourth among ten places worth visiting in Eastern Europe (“Top 10 Eastern European Destinations”). One can encounter three kinds of vacations in this Mediterranean country: winter, summer, and cultural. The ideal places to spend your winter vacations are the Albanian Alps. They are

A Heart Of Darkness

1748 words - 7 pages In this short story, there are frequent significant subject and ideas that make the story, "A Heart of Darkness," by Joseph Conrad, and haunting novel. The main theme is absolute white power over the natives. The theme validates the corruption, and the dependence caused by the white people as they took over the Congo. White men were giving all the power; they had no self-control, and in the end they did not use wisely. The white men became

The Aspects Of Vulnerability Among The Exploited In Medical Research

2287 words - 10 pages Essentially, everyone is in some state of vulnerability. However, some of us are more susceptible to harm due to our vulnerabilities. The susceptible are the individuals with the greatest risk. These individuals risk the loss of their autonomy, and maybe even their lives. Vulnerable populations can be found in every subset of society. However, as previously mentioned, there are some vulnerable populations that are at an even greater risk than

The Hitchhiker’S Guide To The Galaxy

1171 words - 5 pages The Hitchhiker’s Guide to the Galaxy As the human race makes life-changing discoveries, it is made apparent that there is always more to learn as the universe, instead of becoming familiar, is becoming absurd. The Hitchhiker’s Guide to the Galaxy, written by Douglas Adams, as well as the 2005 film adaption, portrays absurdity to be an all-encompassing system in the universe. Through the introduction and attempt to understand lack of reason, the

The Ford Motor Company Wage Increase Of 1914 And The Theory Of Incentives And Efficiency Wages

1252 words - 6 pages ‘It’s not the employer who pays the wages. Employers only handle the money. It is the customer who pays the wages’ (Henry Ford, cited in Johnson and Weinstein 2004, p. 2). When the Ford Motor Company announced that it would more than double the wages of its workers in January 1914 to a ‘five-dollar day’ minimum, was this a contradiction to Henry Ford’s statement? If customers are actually the ultimate payers of wages, then more than

Related Essays

Food And Drug Interaction Essay

1420 words - 6 pages for rate adjustment). Anticonvulsant Agents Anti-Neoplastic Agents Procarbazine (Matulane ®) Hypertensive urgency or emergency Patients should be instructed to avoid may result when combined with foods tyramine-containing foods (see MAOI section containing tyramine. above). Avoid alcohol and alcohol-containing products. May experience N/V with alcohol. Antipsychotic Agents Ziprasidone (Geodon ®) Absorption increases as much

Day 1 Reflection Essay

902 words - 4 pages Day 1 Reflection 1/28/2016 Day 1 of my preceptorship in Beverly Hospital Emergency Department, I have been praying to God for weeks prior to beginning of this term that I will be accepted for Beverly Ed, because I have heard a lot of great stories from previous students who went there. And besides, I have been wanting to be placed in the ER because I want to be an ER nurse, I need to be an ER nurse, I AM GONNA BE AN ER NURSE. Soon. So after

Alternative To Pain Essay

839 words - 4 pages I chose to review an article related to the treatment of chronic pain for a plethora of reasons. To begin with it will be on my first test, secondly it is one the reasons most people go to the emergency room and see their doctors. And finally in my opinion pain along with mental health illnesses may be the most often misunderstood and mistreated diagnosed in health care today; therefore as a nurse and patient advocate it is imperative that I

Pre Eclapsia And Eclampsiapregnancy Essay

1116 words - 5 pages comprehensive emergency obstetrical care. These 3 Controlling Pre-eclampsia and Eclampsia in Pregnancy strategies are the same both in rich and poor resource countries but the major difference being the level of service rendered because of limited resources in developing countries. Upgrading of clinical administration using locally accessible reserves for the management of pre-eclampsia and eclampsia have been proven to reduce perinatal and