nursing management of hypertensive crisis

Nursing management for hypertensive crises commonly encompasses urgent blood pressure reduction, surveillance of vital signs and organ functionality, and the provision of psychological support. Nurses are required to vigilantly monitor fluctuations in the patient’s blood pressure and administer treatment as prescribed by physicians. Additionally, it is crucial to attend to the patient’s psychological well-being, offering comfort and support where necessary.

In the nursing management of hypertensive crises, adherence to certain principles is imperative. Firstly, the safety of the patient must be ensured to avert complications arising from excessively elevated blood pressure, such as cerebral hemorrhage or myocardial infarction. Secondly, there should be diligent monitoring of the patient’s blood pressure, heart rate, respiration, and other vital signs, as well as critical indicators like renal function and electrolyte balance. Any detected abnormalities should prompt immediate notification of the physician and subsequent appropriate interventions. Furthermore, nurses should also be attentive to the patient’s psychological state, providing essential psychological support and reassurance to help mitigate stress and anxiety.

Patients experiencing hypertensive crises, aside from professional medical nursing, must also focus on self-management in their daily lives. Compliance with prescribed medication regimens is essential, and patients should not discontinue or alter their dosages without guidance. It is also important to adopt a healthy lifestyle, including a low-salt diet, regular exercise, smoking cessation, and moderate alcohol consumption. Should symptoms such as headaches, nausea, and vomiting intensify, immediate medical consultation is advised.