hypertension crisis 7 Management AND THERAPY

Management of inpatients
Patients with hypertension  genuine emergency requiring the careful IV therapy to control both blood pressure and decrease slowly but steadily.
 strict monitoring is needed. Treated in the ICU is appropriate.
 Another issue or another broadcaster needs to be acknowledged and addressed (for example, surgery for aortic dissection)
Management on an outpatient
 Hypertension is a chronic problem. The main thing to reduce the risk of disability and death of patients is long-term treatment.
 If the patient is known with high BP examination in the emergency room but did not show any interference with the target organ, the patient does not need to get treatment as soon as possible. Patients only need difollow-ups regularly.
 JNC recommendation from high blood pressure for routine follow-up in patients without target organ disorders:
 Prehypertension (TDS 120-139, TDD 80-89)  BP should be checked again in 1 year.
 Hypertension degree I (TDS 140-159, TDD 90-99)  TD should be checked again in 2 months.
 Hypertension degrees II (TDS> 160 or TDD> 100)  need treatment at a health center within 1 month.
 If TDnya> 180/110, the patient should be examined and given within 1 week of therapy.
Referral of patients can be done with consideration of the existing condition of the broadcaster. If known there are other disorders that accompany, such as aortic dissection or subarachnoid hemorrhage, it is necessary to be referred to health centers higher.
COMPLICATIONS, PREVENSI, and Prognosis
Complications that may arise from the crisis of hypertension or side effects of treatment given:
Congestive heart failure 
Myocardial miokardial 
Renal 
 retinopathy
Injury  brain blood vessels
Disturbance due to a decrease   TD cerebral blood perfusion and heart inadekuat, so it can towards stroke or ischemic infarction.
Some things that need to be considered in patients with high BP to prevent an attack or hypertensive crisis reactivation:
Examination  good in the long run for hypertension is the best way to prevent a sudden attack of hypertension crisis.
 Educate patients and follow-up routine in patients with essential hypertension crisis as to prevent re-attack emergency hypertension.
 Use appropriate antihypertensive drugs by doctors is the main thing to avoid the development of hypertensive emergency.
Prognosis
 The death rate within 1 year more than 90% in patients with hypertension who did not handle the emergency.
 life expectancy of about 144 months for all patients with hypertensive emergency encountered in the emergency room.
Life expectancy  5 years in all patients with hypertensive crises around 74%.