What to do with high blood pressure at home? Increased pulse at elevated pressure: what to do?
Not every person knows the correct course of action if he has increased pressure. What to do at home before the arrival of the doctor must understand everything. However, many are trying to help themselves or their neighbors with this problem without the involvement of specialists. Such an approach is wrong and can lead to the most serious consequences.
What to do with high blood pressure first?
In the event that a blood pressure measurement was taken and its level was elevated, first of all it is necessary to make a decision on who to contact. If the increase is insignificant (up to 160/100 mm. Hg. Art.), Then you need to sign up for an appointment with a district physician or for a consultation with a cardiologist. Naturally, you should pay attention to your overall condition.If against the background of increased, but relatively low blood pressure, the state of health is extremely poor, then, of course, you should call the district doctor (during his work hours) or the ambulance team. If the state of health is relatively good, you can take the drug "Captopril" in a dosage of 25 mg. People with low body mass, especially young girls, need to be careful with this drug. It's better for them to take half a pill. After 30 minutes, blood pressure should be measured again. If there is no tendency to decrease it, then it is necessary to repeat the administration of the drug "Captopril" in the same dosages. If this does not help and the upper pressure is still increased and the lower pressure is increased, what should I do? The answer to this question will be able to prompt only the doctor.
What will the doctor help?
Every therapist and cardiologist knows what to do with elevated pressure. If the level is high enough, the doctor will provide emergency assistance. First, he will try to cope with the task with the help of tablet preparations. If they do not help, he will inject intravenously or intramuscularly magnesium sulfate.In the choice of dosage, the doctor is repelled from the level of increase in blood pressure, as well as from the patient's body weight. Most often, the volume of this drug, administered intramuscularly or intravenously, ranges from 5 to 10 ml.
Depending on how easily the doctor can return the blood pressure of his patient to the limits of the norm, he can prescribe him outpatient or inpatient treatment. At the same time, the so-called day hospital is a fairly popular way to treat arterial hypertension. Its advantage lies in the fact that the patient does not have to be at the hospital all day. All the necessary treatment he receives, visiting the clinic or hospital at the scheduled time. The disadvantage of the day hospital is that it is far from always that a person is given a sick list for the duration of treatment according to this method. So this option is not always suitable if the patient really cannot fulfill his job duties due to the fact that he has elevated lower pressure. What to do in this situation? Agree to hospitalization.So a person will receive effective help.
It is carried out when the patient's condition is relatively satisfactory and does not prevent him from performing his work duties. In this case, the doctor will tell in detail what to do with elevated pressure. He will tell about how to properly reduce its level and what drugs to use for this. Of course, if the diagnosis of “arterial hypertension” has already been established and the cause of this pathology is not a consequence of the disease of any particular organ (kidney, heart), then the doctor will prescribe a rational course of therapy.
The main difference from the usual course of antihypertensive therapy in a hospital is here that the patient does not stay in the department all the time, but only comes at a set time when he needs to administer certain drugs or carry out certain procedures.
In the event that the patient’s condition has seriously deteriorated due to an increased level of blood pressure or a hypertensive crisis has developed,he is offered hospitalization in a therapeutic or cardiology department.
Doctors in the hospital are well aware of what to do with high blood pressure. They will prescribe a rational treatment. In the event that the patient has no signs of heart failure (edema of the lower extremities, the presence of fluid in the lungs), the doctor is likely to prescribe an intravenous drip of a potassium polarizing mixture. It consists of components such as:
If a patient has edema of the lower extremities, and an X-ray picture shows a small amount of fluid in the lungs, the doctor will first try to remove these manifestations with the help of intravenous or intramuscular administration of diuretic drugs. At the same time, they will not only relieve a person from the above signs of chronic heart failure, but also reduce the level of blood pressure. This action is due to the fact that diuretic drugs reduce the volume of circulating blood. As a result, the load on the heart and blood vessels is reduced. Among diuretics in a hospital setting, the most commonly used drug is furosemide.It has a fairly pronounced diuretic effect, but it also contributes to the loss of important minerals (potassium, calcium, magnesium) by the body. After the symptoms of chronic heart failure go away, the doctor may prescribe an intravenous drip. They not only stabilize the pressure, but also restore the reserves of potassium and magnesium in the body.
Help at home
Some patients become overly worried when their heart pressure is elevated. What to do in this situation? If the pressure is really high, then you need to call the ambulance team or the local physician. If it has not increased very much, then it is worth contacting the polyclinic in the place of residence during its working hours. In this case, you can try to reduce the pressure yourself. It is not always for this purpose the drug "Captopril" is used. The fact is that quite often there is an increased pulse at elevated pressure. What to do in this case? Use any drug from the group of beta-blockers. These medicines will quickly reduce the increased heart rate at elevated pressure. What can not be done is to use such drugs in the presence of violations of cardiac conduction.Pronounced blockade are a contraindication to receive beta-blockers.
It should be noted that independent control of pressure is possible only with the help of a fully automatic blood pressure monitor. To use a mechanical or semi-automatic device is unacceptable. The fact is that when self-injecting air into the cuff with a pear, a person will show increased pressure. What to do at home if the patient lives alone? He should purchase a fully automated device. Modern devices of this type can not only accurately measure the level of blood pressure, but also to determine the impairment of the pulse.
About non-drug therapy
In some cases, drugs are not at hand, while there is increased pressure. What to do at home? First you need to try to calm down. The fact is that with excitement, the pressure only increases. It helps breathing exercises. It is performed by slow, deep breaths and exhalations. It is also important enough that the room in which the person is located, was well ventilated. As for the position of the body, it should be horizontal.Of course, this can only reduce the increased lower pressure a little.
What to do when the pressure rises during pregnancy?
When a woman bears a child, most of the drugs used to treat hypertension are contraindicated in her. It is necessary to immediately consult a doctor if an increased pressure during pregnancy has been identified. What to do in this situation, best of all will tell the therapist of female consultation. He will prescribe a woman a survey to determine the cause of the increase in blood pressure. Naturally, he will also prescribe a rational treatment. The main group of drugs shown in hypertension in pregnant women - beta-blockers. Among them, the most commonly used drugs are Bisoprolol and Carvedilol. If the pressure is too high, the patient is hospitalized in the hospital.
About lower pressure
In the people that is the way most often called diastolic pressure. It often rises when a person is agitated and is under stress. If there is an increased lower pressure, what to do? More precisely, the therapist or cardiologist will tell about this. The doctor will prescribe drugs from the group of beta-blockers.In this case, they are shown for the reason that they contribute to reducing the load on the heart. As a result, it can fully restore its strength during diastole. In some patients, against the background of stress, even with the rational use of drugs, there is an increased lower pressure. What to do in such situations can prompt a psychologist or psychotherapist. The fact is that patients often have arterial hypertension with a disease such as vegetative-vascular dystonia. At the same time, heart pressure is very often increased. What to do in this case? In addition to a psychologist or psychotherapist, a neuropathologist can help. Often the appointment of sedatives, he solves all the problems of the patient with pressure and other symptoms of vegetative-vascular dystonia.
About pressure in the elderly and senile age
It is in age patients that increased heart pressure is most often observed. What they do in order to keep him at an acceptable level always, explains their treating doctor. Usually, in addition to beta-blockers, they are assigned calcium channel blockers. Thanks to these drugs, increased heart pressure drops.
What to do, if not the lower pressure, but the upper pressure is increased? Here, the most appropriate choice would be to use drugs from the group of ACE inhibitors. The most common drugs are Enalapril, Lisinopril and Ramipril.
It is worth noting that with age the patient has to prescribe a comprehensive treatment. He may experience increased upper and higher lower pressure. What to do in such situations? Use a combination of drugs from the groups of beta-blockers, ACE inhibitors and calcium channel blockers. In combination, these drugs are sure to help normalize the level of pressure.