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Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Hypertension I: Introduction01:28

Hypertension I: Introduction

16
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
16
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
27
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
32
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

15
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
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Correction to: 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.

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Updated: Jul 20, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Hypertensive Emergencies: Implications for Nurses.

Leslie L Davis1

  • 1University of North Carolina at Chapel Hill, School of Nursing, 4007 Carrington Hall, CB # 7460, Chapel Hill, NC, USA.

The Nursing Clinics of North America
|August 3, 2023
PubMed
Summary
This summary is machine-generated.

Hypertensive emergency involves high blood pressure with organ damage, requiring IV treatment in the ICU. Hypertensive urgency is high blood pressure without organ damage, treated with oral medication and outpatient follow-up.

Keywords:
HypertensionHypertensive crisisHypertensive emergenciesHypertensive urgencyNursing

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Area of Science:

  • Cardiology
  • Nephrology
  • Internal Medicine

Background:

  • Acute elevations in blood pressure (BP) can be classified as hypertensive emergencies or urgencies.
  • Distinguishing between these conditions is critical for appropriate patient management and outcomes.

Purpose of the Study:

  • To differentiate between hypertensive emergency and hypertensive urgency.
  • To outline the distinct management strategies for each condition.

Main Methods:

  • Review of clinical definitions and diagnostic criteria for hypertensive emergencies and urgencies.
  • Analysis of treatment protocols, including medication routes and monitoring requirements.

Main Results:

  • Hypertensive emergency: BP > 180/120 mm Hg with target organ damage; requires IV medications and ICU monitoring.
  • Hypertensive urgency: BP > 180/120 mm Hg without target organ damage; treated with oral medications and outpatient follow-up.

Conclusions:

  • Accurate diagnosis based on the presence or absence of target organ damage is essential.
  • Both conditions necessitate thorough evaluation for underlying causes and patient education for long-term BP management.