- Documented hypertension
- Medications (compliance ?)
- Renal failure
Erectile dysfunction medication
One of these
- Systolic BP >220
- Diastolic BP >120
AND at least one of these
- Blurred vision
- Hypertensive encephalopathy
Primary CNS injury
- Cushing's response (bradycardia with hypertension)
- Myocardial infarction
- Aortic dissection/aneurysm
Respiratory Distress ?
Headache or mental status change ?
- Notify receiving facility or contact Medical Control
- Never treat elevated blood pressure based on one set of vital signs or on vital signs alone.
- Check blood pressure in both arms.
- Symptomatic hypertension is typically revealed through end organ damage to the cardiac, central nervous system or renal systems.
- All symptomatic patients with hypertension should be transported with their head elevated.
- Consider aortic aneurysm if patient is experiencing severe or dull pain in the abdomen, chest, lower back or groin. Risk factors for aortic aneurysm include male patients (4 of 5 patients are males), greater than 60 years old, smoking, and diabetes.