Hypertensive Crises Urgencies and Emergencies

TREATING HYPERTENSIVE URGENCIES

Treating Hypertensitive Urgencies

Subjective

Chief Complaint: A 57-year-old black and Asian gentleman reports that he knows that his blood pressure has been in the range of 217/109 for about the last decade. He also reports that he has not seen a health care professional about the elevated blood pressure and he does not have a healthcare professional that he sees in a routine basis. He is also a healthcare professional at the provider level. Recent history about the said gentleman states that he has a history of neck pain and was diagnosed with spinal stenosis at the C5-C6 level.

Objective

Vitals: Screening results indicate that his blood pressure is in the range of 217/109.

Assessment

Problem: Elevated blood pressure

Most likely diagnosis: Hypersensitive urgencies. This diagnosis was chosen because the patient has had an elevated blood pressure for the last decade.

Plan

Based on subjective and objective information, it would be prudent to note that the said patient has hypersensitive urgency. Hardy and Jenkins (2011) suggest that being an elderly male from African American origin and not having a healthcare professional are the major risk factors for hypertensive crisis.

Therapeutics: Pharmacotherapeutic agents; Clevidipine, Fenoldopam, Sodium nitroprusside Labetalol, Clonidine, Captopril (Alley and Copelin II, 2021).

Education: If obese, reduce weight, quit smoking, avoid caffeinated drinks, exercise regularly, take plenty of fiber in the form of vegetables and fruits, avoid alcohol, reduce salt (sodium) intake (Alley and Copelin II, 2021).