Hypertensive Urgency - Say no to the ER!

Excellent lecture , highly yield information for a better medical practice when dealing with high blood pressure patients in the ER mostly referred by another doctor. Warm regards from Perú

Been to er with hypertensive emergency three times.
They never once checked my kidneys.
Gp sent me for tests and its renal hypertension due to renal artery stenosis.
Right now 225/142 p110. On max dose meds x3.

Mine was 227/187 and was sent to the er with no symptoms it’s stayed that high for 4hrs.

How does one know at home if we are having damage? We see high numbers and then what?

Excellent video that explain what is actually going on particularly for those who have a concern about urgent high blood pressure to alleviate the stress they feel about having high blood pressure that has peaked as in resistant hypertension. When it won't come down, and you are freaking out about having a stroke. It can help you settle down until the BP can be brought under management actually making you less hypertensive.

Thank you. This really helped me understand the confusion in regards to my treatment. I had read in some health charts that 180/120 was a go to the ER immediately number, full stop. I occasionally get numbers in that range (just the top) during high anxiety (which is now centered around my BP). I could for the life of me understand why the ER clinician and my primary care doctor just sent me home with BP medicine and told me to focus on anxiety. I thought that if I’m hitting these numbers throughout the day, then I must be a walking powder keg. I thought the traffic example was particularly helpful to that end.

But it looks like they all did the right thing.

Also, it is very VERY easy to screw up a blood pressure test. Things such as this can make your blood pressure go up

Stress
Nicotine
Caffeine
Lack of sleep
Positioning
Incorrect cuff placement/fitting
Salt

And so much more

Thanks 💜
Is oral Nifedipine like sublingual Nifedipine!!
Also not prefer in urgency HTN??

A doctor sent me to the er just because my blood pressure was 200/100. I told her that I was not having chest pain, sob, difficulty talking. I wasted the doctor,s, nurse time. The doctor at the clinic panic.

Recently in hospital with bp at 246/90. I felt great, ultrasound showed no kidney damage.

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There are different types of Aortic Dissection, I've inherited the rarest kind, No Collagen, within the Aorta. The same that killed my Father and Grandfather. My father went through a Surgery, and 72 Pints, YES, 72 PINTS of Blood, and he ended up being Brain Dead, AFTER his first Surgery! My Doctor, knows, not to let anyone touch me, because I've inherited the same disease!

Commonly used drugs for hypertensive urgency

Fοr sοmε timε (clοsε tο 2 yεαrs), I wαs kεεping υp with my mεdicαtiοn tο mαintαin my high blοοd prεssυrε nοt until this mοnth I stumblεd upοn αbοut this "Sοyutο Weebly" (Gοοɢιε it) trεαtmεnt. Mεdicαl dοctοr εxplαinεd tο mε blοοd prεssυrε lεvεl is rεturnεd tο nοrmαl αnd I dοn`t rεαlly nεεd tο put mοnεy intο mεdicinε fοr hypεrtεnsiοn lεvεl..

Woke up today. BP 190/130. Took 10 mg. Alt ace. Ramipril. And 100 mg metoprolol. And. Small .25 of xanax. For possible panic. No change in bp. Went to urgent care. After 2 hours. BP 180/125.
Sent me to er. No organ damage. . 5 hours later. Bp Started to come down. Discharged with bp 160/101. Prescribed
Clonidine. This all happened today.
Not sure . Why. But my bp is high. And I've doubled my meds .
I'm 59. Male. 5' 11" 170 lbs In shape. No Smoking no alchohol no bad food. 3 hours at gym daily.
Why would my BP spike. Nobody knows
It stays around 160 / 100.
No answers. Just more meds.

could I get organ damage with a blood pressure of 150/100?

Thanks to you ...you make the topic so simple to understand 😊

My BP goes up 30 points every time I go into a DR's office. Very informative video. Thank You!

Great video, very informative, thank you!

I get those super high numbers whenever I lie down in a Dentist's Chair ... they do my pressure and say they will be back in a few ... my cue to start breathing, after a couple minutes of relaxation and deep breathing my pressures are normal and we get on with the pain and suffering.

Handsome and intelligent.

Thank you..I was really worried about my fathers high blood pressure readings over 180 but no signs of pain and damage..now its been clear to me

Great lecture!!! I work in the ER and urgent care and you're exactly correct!

What do I do assuming am in the house alone, and I detect that my blood pressure is elevated?