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Doctor insights on: Hypertensive Crisis Treatment

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Can isosorbide trinitrate (iv) given to pat. With hypertensive crisis and intracerebral hemorrhage?

Can isosorbide trinitrate (iv) given to pat. With hypertensive crisis and intracerebral hemorrhage?

Nitrates, Yes...: I'm not familiar with isosorbide trinitrate, but nitrates, Nitroglycerin and nitroprusside are one of many treatments used for hypertensive crises when control of blood pressure is essential. ...Read more

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What is acute adrenal crisis?

What is acute adrenal crisis?

Low cortisol state: Acute adrenal crisis is defined by the sudden drop in Hydrocortisone (or its equivalent) in the body, prompting acute physiological changes such as low blood sugar, lethargy, nausea, low blood pressure and sometimes even coma and death. Immediate steroid replacement is needed to reverse the above either via mouth (if the individual is stable and able to swallow) or via intra muscular/intravenous. ...Read more

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What sort of problem is an addisonian crisis (acute adrenal crisis)?

What sort of problem is an addisonian crisis (acute adrenal crisis)?

Emergency: Adrenal crisis occurs when there is abrupt loss of adrenal hormones or treatment of addison's disease is suddenly stopped. Symptoms include low blood pressure leading to shock, confusion leading to loss of consciousness, low blood sugar, electrolyte imbalance leading to instability of the heart rhythm, and can result in death. Treatment is required urgently. ...Read more

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Acute antihypertensive therapy in pregnancy-induced hypertension: is nicardipine the answer?

Acute antihypertensive therapy in pregnancy-induced hypertension: is nicardipine the answer?

Not my first choice: Nicardipine is pregnancy category c. Typically we use IV labetolol, Hydralazine and PO nidepine as first line agents. There is some data using nicardipine i v . It is alternative to other agents. I would use if other agents contraindicated or did not work. ...Read more

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

ACE inhibitor: An ACE inhibitor would be anti hypertensive of 1st choice in a pt with said profile bc of its cardio and Reno-protective benefits. If a dry cough, side-effect develops, an angiotensin receptor blocker ought to be tried next. ...Read more

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What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

What hypertensive treatment works for a patient with coexisting chf, high cholesterol and iddm?

ACE or ARB: Any of them would work but ace or arb would also treat the chf and protect the kidneys so they would be a first choice. ( one or the other, not both). Most patients need more than one drug. ...Read more

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Please help! what is the priority nursing intervention for sickle cell crisis?

Do your homework: This site is not a shortcut for you to have your nursing school or health class assignments answered. If you plan to pursue these interests you need to review the course materials and answer in the phraseology and terms common to those sources.Otherwise the instructors will know you did not, and will treat your answers accordingly. ...Read more

Dr. Alan Ali Dr. Ali
14 doctors agreed:
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A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Dr. Alan Ali Dr. Ali
14 doctors agreed:
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Procardia/MAOi's: Both can have additive effects on lowering blood pressure, leading to dizziness, headaches, lightheadedness & fainting. This mostly happens at start of tx or when dose increased. ...Read more

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What preventive care services must an elderly widow receive?

What preventive care services must an elderly widow receive?

Elderly widow preven: These are no different than a married or single elderly female except ypu need screening for depression and being lonely. ...Read more

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Is acetazolamide the treatment for acute glaucoma attack?

Is acetazolamide the treatment for acute glaucoma attack?

Partly: Acute glaucoma is due to an anatomical eye issue most common in older adults who are hyperopic. Their internal fluid drainage is blocked by the iris. The goal is to lower the pressure and move the iris out of the way. This is done with several types of eyedrops and acetazolamide helps to lower the pressure. These folks will eventually have a laser opening made in their iris to prevent attacks. ...Read more

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What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

What treatment option integrates treatment for high blood pressure, arteriosclerosis, atherosclerosis, and coronary heart?

Best to Address All: The LDL & HDL lipoproteins (protein particles which carry all fats in the water outside cells, see NMR particle test) are the primary issue, along with blood glucose (optimal hba1c ?5.0%), blood pressure (sbp ?120 mmhg), no smoking & several other issues, known & not. Thus best to address all issues in unisyn, do not aim for normal. Instead aim for excellence: absence of drivers of the disease. ...Read more

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Natraul treatment for depression?

Natraul treatment for depression?

Depression remedies: Include exercising, engaging in social interaction & engrossing activities, practicing gratitude, doing kind things for others, learning and practicing stress management, developing and committing to meaningful goals, avoiding negative thinking & negative comparisons with others, and talking to empathic & trusted people. If those aren't enough, talk to a mental health professional. ...Read more

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What is the best treatment for sickle cell crisis?

What is the best treatment for sickle cell crisis?

Complex: Oxygen and fluids are traditionally given, and pain meds for symptom control. Infection, infarction, and other stresses may trigger a crisis. Hydroxyurea is used on a on-going basis during and between crises/. ...Read more

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Hypertensive crisis and enlarged heart medication not helping now what?

Hypertensive crisis and enlarged heart medication not helping now what?

See below: If you are currently in hypertensive crisis based on current blood pressure checks, you need seek care immediately through er or urgent care. ...Read more

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How is a myasthenic crisis treated?

How is a myasthenic crisis treated?

Aggresively !!: Myasthenic crisis is a medical emergency it is related to the neurotransmitter acetyl choline not being ablt to work at the neuromuscular junction (due to ach receptor issues) it can cause life thretening symptoms specially related to the respiratory system. ...Read more

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Diet control for hypertensive and diabetic patient?

Diet control for hypertensive and diabetic patient?

Metabolic syndrome: I am not sure why you are on a calcium channel blocker, but ace inhibitors are first line in diabetes with hypertension. Metabolic syndrome is a problem of obesity, high bp, high blood lipids and poor sugar control. The best approach to this is to eliminate refined foods from the diet. Eat a quart of vegetables daily. Omega 3 oils, magnesium, Alpha lipoic acid and aerobics are very helpful. ...Read more

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What is the latest and best anti hypertensive medication treatment. ?

Anti hypertensive: There is no answer to this question; there are numerous classes of agents each with particular desirable and undesired attributes ...Read more

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Opinion of Beta Blockers (Tenormin) for regression of anxiety induced hypertension mild LVH?

Opinion of Beta Blockers (Tenormin) for regression of anxiety induced hypertension mild LVH?

It sounds like: a good choice, as your doctor evidently did also. Give it a try for a few months, I think it is a good idea. ...Read more