2020 International Society of Hypertension Global Hypertension Practice Guidelines

In accordance with most major guidelines it is recommended that hypertension be diagnosed when a person’s systolic blood pressure (SBP) in the office or clinic is ≥140 mm Hg and/or their diastolic blood pressure (DBP) is ≥90 mm Hg following repeated examination.

Shut up during triage or end up on antihypertensives (learnt this from one of our nurses today)

BP Reading

10 Factors That Can Affect Blood Pressure Readings

  1. Blood Pressure Cuff is too Small
  2. Blood Pressure Cuff Used Over Clothing
  3. Not Resting 3-5 minutes
  4. Arm/Back/Feet Unsupported
  5. Emotional State
  6. Talking
  7. Smoking
  8. Alcohol/Caffeine
  9. Temperature
  10. Full bladder


 

BP 252/130…start IV Fluids…this won’t blow up the patient…

 

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The diagnosis of hypertensive emergency is made based upon the findings of hypertension in the setting of end-organ damage (usually heart, brain, or kidneys). What you really care about is the rate of increase rather than the actual BP number (there is no defining threshold).

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Please stop with the STAT ORAL ANTIHYPERTENSIVES…you are harming patients

A Hypertensive emergency is any elevation in blood pressure in the presence of end-organ dysfunction. Aggressively treating severe asymptomatic hypertension (very high blood pressure without clear end organ damage) is not indicated, not supported by the literature and DANGEROUS. First, do no harm.

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