Manejo adecuado de crisis hipertensiva en el Servicio de Emergencia del Centro de Salud
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2023
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La crisis hipertensiva procede de presiones arteriales elevadas establecido por las guías clínicas de cardiología donde indican valores de presión sistólica mayores o iguales a 180mmHg y diastólicas mayores o iguales a 120mmHg. Entre las complicaciones patológicas se ha confirmado la afectación orgánica en diversos estudios, por lo que el conocimiento del tratamiento es muy importante. El objetivo de la terapéutica es descender la presión en un 20% en un lapso de 24 a 48 horas, en caso de repercusión orgánica, se indica medicación intravenosa buscando su reducción en 25% dentro de las primeras 2 horas. El antihipertensivo de elección debe deliberarse acorde a las características socio-epidemiológicas del paciente conjunto a las presiones que presente, para de ese mismo modo evitar el fallo terapéutico e incrementar riesgo de daño orgánico en el paciente.
The hypertensive crisis comes from high blood pressures established by the cardiology clinical guidelines where they indicate systolic pressure values greater than or equal to 180mmHg and diastolic pressure values greater than or equal to 120mmHg. Among the pathological complications, organic involvement has been confirmed in various studies, so knowledge of the treatment is very important. The objective of the therapy is to lower the pressure by 20% in a period of 24 to 48 hours, in case of organic repercussions, intravenous medication is indicated seeking its reduction by 25% within the first 2 hours. The antihypertensive of choice must be deliberated according to the socio-epidemiological characteristics of the patient together with the pressures that he presents, in order to avoid therapeutic failure and increase the risk of organ damage in the patient.
The hypertensive crisis comes from high blood pressures established by the cardiology clinical guidelines where they indicate systolic pressure values greater than or equal to 180mmHg and diastolic pressure values greater than or equal to 120mmHg. Among the pathological complications, organic involvement has been confirmed in various studies, so knowledge of the treatment is very important. The objective of the therapy is to lower the pressure by 20% in a period of 24 to 48 hours, in case of organic repercussions, intravenous medication is indicated seeking its reduction by 25% within the first 2 hours. The antihypertensive of choice must be deliberated according to the socio-epidemiological characteristics of the patient together with the pressures that he presents, in order to avoid therapeutic failure and increase the risk of organ damage in the patient.
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HIPERTENSION, AFECTACION ORGANICA, ANTIHIPERTENSIVOS, CENTRO DE SALUD MONTE SINAI, CANTON GUAYAQUIL, ECUADOR