评估不遵守抗高血压治疗的实际方法
Eva Kociánová1, Miloš Táborský1, Jan Václavik2
1First Department of Internal Medicine - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc.
Journal of hypertension
|June 22, 2023
概括
不遵守抗高血压药物是常见的,导致治疗失败. 临床医生可以使用临床红旗和坚持测试来识别不服用血压药物的患者.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 临床实践 临床实践
背景情况:
- 不遵守抗高血压治疗是高血压管理中的一个常见问题.
- 它使患者的护理复杂化,导致治疗失败,并增加心血管事件风险.
- 在日常临床实践中,识别不坚持的患者仍然是一个挑战.
研究的目的:
- 概述用于识别不坚持抗高血压药物的患者的策略.
- 为临床医生提供一种实用的方法来检测不遵守.
主要方法:
- 对表明不遵守的临床指标 ("红旗") 的审查.
- 讨论粘附性测试方法,包括化学测试 (血清/尿液药物水平).
- 替代方法,如处方补充检查和直接观察治疗与门诊血压监测.
主要成果:
- 临床红旗应该立即考虑不遵守.
- 化学粘附性测试是可用的首选方法.
- 处方补充史和直接观察治疗是可行的替代方案.
结论:
- 结合临床评估和客观测试的系统方法有助于检测不遵守.
- 实施检测算法可以改善抗高血压药物治疗的坚持和结果.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
33
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...
33
Hypertension IV: Drug Therapy and Lifestyle Modifications
19
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
19
Hypertension V: Nursing Management
13
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.
13
Errors occurring during blood pressure monitoring
781
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
781
Special considerations while measuring blood pressure
772
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
772
Assessment of blood pressure in brachial artery(one-step method)
647
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
647


