Subject(s)
Hypertension, Malignant/nursing , Aged , Algorithms , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/diagnosis , Diabetes Mellitus, Type 2/nursing , Diagnosis, Differential , Heart Failure/diagnosis , Heart Failure/etiology , Heart Failure/nursing , Humans , Hypertension, Malignant/diagnosis , Hypertension, Malignant/etiology , Male , Nursing DiagnosisSubject(s)
Antihypertensive Agents/therapeutic use , Emergency Treatment/methods , Hypertension, Malignant/drug therapy , Antihypertensive Agents/pharmacology , Drug Monitoring , Emergencies , Fenoldopam/pharmacology , Fenoldopam/therapeutic use , Humans , Hypertension, Malignant/diagnosis , Hypertension, Malignant/nursing , Hypertension, Malignant/physiopathology , Infusions, Intravenous , Injections, Intravenous , Labetalol/pharmacology , Labetalol/therapeutic use , Nitroprusside/pharmacology , Nitroprusside/therapeutic use , Severity of Illness IndexABSTRACT
The best treatment for a hypertensive crisis is prevention. Early identification and treatment of hypertension can prevent the development of most hypertensive crises. Although the increased emphasis on detection and advances in pharmacologic treatment of hypertension has influenced the decline in frequency of this disorder in recent years, critical care nurses still need to be aware of this potentially lethal complication of hypertension.
Subject(s)
Hypertension, Malignant , Patient Care Planning , Antihypertensive Agents/classification , Antihypertensive Agents/therapeutic use , Critical Care , Emergencies , Humans , Hypertension, Malignant/diagnosis , Hypertension, Malignant/nursing , Hypertension, Malignant/physiopathology , Hypertension, Malignant/therapyABSTRACT
Women with severe pregnancy-induced hypertension or chronic hypertension with superimposed preeclampsia are at risk for the development of hypertensive crisis. Hypertensive crisis is an emergent situation that carries great maternal and fetal morbidity and mortality. Effective assessment and comprehensive care of the patient in hypertensive crisis requires a thorough understanding of the underlying disease preeclampsia, common hemodynamic findings, and therapies available. Nurses in any perinatal environment must be prepared to respond immediately to this critical obstetrical circumstance.
Subject(s)
Critical Care/methods , Hypertension, Malignant/nursing , Pregnancy Complications, Cardiovascular/nursing , Female , Humans , Hypertension, Malignant/classification , Hypertension, Malignant/therapy , Pre-Eclampsia/nursing , Pre-Eclampsia/therapy , Pregnancy , Pregnancy Complications, Cardiovascular/classification , Pregnancy Complications, Cardiovascular/therapyABSTRACT
The key role of the critical care nurse in caring for the patient with malignant hypertension involves careful assessment of the blood pressure and identification of progressive organ damage.
