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With a sharp headache, the patient is recommended to take ampicillin one tablet of a diuretic drug. With severe pain in the heart area, the patient can take one tablet of validol or nitroglycerin under the tongue.
However, you should not independently use new drugs that the patient has not previously taken. If there is a need for any additional medicines, they should be prescribed by a doctor. During a hypertensive crisis, the patient also needs psychological support from loved ones, as the patient experiences anxiety, anxiety, fear of death. Therefore, relatives should, without succumbing to panic, try to calm the patient by talking to him in a calm and friendly tone.
Hospitalization for hypertensive crisis is not required for all patients. Usually, in uncomplicated hypertensive crisis, relief of symptoms by intravenous injection of antihypertensive drugs, followed by outpatient treatment, is sufficient. Hospitalization is necessary for patients who have developed a crisis for the first time, regardless of the presence of complications, as well as patients with complicated crises.
In a hospital or outpatient treatment, monitoring of blood pressure and symptoms indicating disorders of the nervous system should be carried out. It is very important to correctly interpret complaints and symptoms, and not the absolute level of blood pressure. In an uncomplicated crisis, the effect is often obtained by taking 1-2 tablets of captopril, etc.
In the absence of a pronounced therapeutic effect from taking these drugs, injections of dibazol, obzidan, clonidine, sodium nitroprusside, nimodipine, furosemide, magnesium sulfate, enalapril maleate are given. In some cases, pentamine is prescribed. Clonidine has a noticeable effect in hypertensive crises of any type, reducing heart rate, cardiac output and peripheral vascular resistance, effectively lowers blood pressure, especially in crises accompanied by tachycardia. For intramuscular or intravenous injections, clonidine is used in the form of a 0.01% solution at a dose of 0.5-1 ml.
The hypotensive effect is observed as early as 3-5 minutes after intravenous injection and reaches a maximum after 15-30 minutes. The drug should be administered slowly, especially during a hypokinetic crisis, to avoid collapse (i.e. acute vascular insufficiency). After the injection, the patient should be at rest in a horizontal position for 2-3 hours.
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In order to enhance and consolidate the effect obtained as a result of the use of droperidol, it is recommended to buy acillin diuretics orally in combination with other antihypertensive drugs. Diuretics also eliminate swelling.
It must be borne in mind that during a hypertensive crisis, one should not seek to reduce the arterial index to normal. It is enough to reduce it to indicators at which his well-being improves. If the main manifestations of the crisis are cerebral symptoms without signs of focal disorders, intravenous injections of droperidol can be used to stop such a crisis. This drug contributes to a rapid improvement in well-being and a moderate decrease in blood pressure. Droperidol begins to act after 2-4 minutes. After 10-15 minutes, a noticeable effect is observed, but often the effect of acillin drug is short-lived (1 hour).
In addition to drugs whose action is aimed at lowering blood pressure, if necessary, the doctor prescribes drugs that eliminate disorders of the cardiovascular system, etc., caused or exacerbated by a hypertensive crisis. Since the development of hypertensive crises often indicates the inadequacy of treatment, it is very possible that it will be necessary to adjust the individual therapeutic program. The patient must not only take medications, but also strictly adhere to the doctor's recommendations regarding lifestyle and diet. In the future, when the acute stage of the crisis is over, feasible physical activity is recommended, of course, without overload.
During the recovery period, you should completely abandon the use of table salt, and in the future, adhere to a salt-free or low-salt diet, avoid smoking and drinking alcohol, and avoid stressful situations if possible. With a hyperkinetic hypertensive crisis, emergency care often begins with an intravenous injection of ampicillin pills. This drug has an antispasmodic effect and helps to reduce cardiac output. The hypotensive effect of dibazol is moderate, and sometimes mild, so other drugs must be used in combination with it.
