Wednesday, March 24, 2010

How Does Hypertension/High Blood Pressure Concern A EMT Basic? Shock/Nitro Treatment? What Else? -

Can everyone shoot me ideas of what hypertension has to do with EMT Basic assements and stuff. When is it important? Why does it help to know what it is?

As an EMT Basic, your treatment of HTN really isn t going to be extensive. You re only authorized to give the patient his or her own nitroglycerin as a treatment for chest pain. As a EMT-Paramedic, you can give the patient nitro for HTN, in addition to other drugs (the availability of other drugs depends on which state you work in). Even in a restrictive state like Alabama, I can give nitroglycerin for HTN when the patient has possible organ damage issues. As an EMT Basic, identifying HTN is important. It s pretty common for the average patient to be slightly hypertensive. I don t really blink unless the systolic is above 150, and the diastolic is 100 or above. Sometimes, a patient can be hypertensive from stress or pain. Calming the patient down, splinting fractures (so they are less painful), and keeping the patient comfortable can help in reducing blood pressure. Don t forget about oxygen therapy. It also can help calm the patient down (when you put a patient on oxygen, they feel like you are actually doing something to help them). When you have a very hypertensive patient, they are at increased risk of having a CVA or a brain bleed (that s never a good thing!). Take notice if they are having a headache, blurred vision, changes in mental status, or shortness of breath, and be sure to tell the ALS intercept or the hospital of their symptoms. Other things to consider are if the patient is suspected of having an acute stroke. Generally, you don t want to treat HTN in this instance, because that high blood pressure is actually helping to keep the brain perfused. If they are a trauma patient, and a closed head injury is suspected, then watch out for bradycardia and hypertension, along with altered mental status and changes in respiration. Those symptoms point to a closed head trauma. I checked the New York State protocols (only ones I could quickly find online) and they recommend that an EMT Basic apply oxygen, and if certified, start an IV. They also mentioned (and I thought this was pretty important) that true hypertensive crisises are quite rare, and not to overlook the possibility that the patient s symptoms are from another cause. Hope this helps :-)

Tuesday, March 23, 2010

Pulmonary Hypertension cures? -

Hello. My mom who I love more than words can ever describe has been diagnosed with Pulmonary Hypertension. She s my best-friend. She s 55 years old. She has problems breathing, fatigue, chest pressure, and irregular heartbeat. She has to use an oxygen machine at night. My question is, are there any herbs or anything else that could possibly make it go away or pro long her life? I ve heard it s in curable and it only gets worse. But I thought maybe you might have some better answers of things that work. Any ideas of how to reduce stress? Would sipping tea work to help her? What are some steps she can do to extend her life? Thank you for reading. God bless you all. Take care. later... Sincerely, elysiac1983@yahoo.com

Most of the time incurable diseases are, just as they are called, incurable. But basically trying to keep stress level at a minimum is always best for any sickness. Also making sure there is someone who she can rely on for help whether is a reliable neighbor or someone living with her incase something goes wrong. We do live in an era where medicine and technology is developing so quickly its mind boggling. Theres always hope for a pioneering procedure that might be practiced in the near future. And Best wishes to your mom

Unfortunately, no. Pulmonary hypertension is usually the result of a lifetime of not living very healthily. The damage has already been done to the pulmonary system, and now it s simply time to manage the symptoms. If she smokes, get her to stop. If she eats a lot of fatty foods or junk food in general, get her to stop. Stop consuming caffeine. Tell her to take her medications religiously. Teas can help for stress, but stress management is really relative to each person. For her, it may be chatting with a friend, a relaxing bath, or knitting. Talk to her about it.

Professionals/experts. difference between glaucoma and occular hypertension. thanks a lot.? -

ocular hypertension is HIGH EYE PRESSURE. glaucoma is retinal nerve fiber layer loss. most of the time glaucoma (vision loss) is caused by ocular hypertension. BUT! there are some people who have high pressure (ocular hypertension) and DO NOT have glaucoma... and there are also people who have glaucoma (nerve fiber layer loss) in the absence of ocular hypertension. but for MOST people...if you have significant ocular hypertension...you ll probably eventually have nerve fiber layer loss (glaucoma). the hard part is when people have MILD ocular hypertension or pressures just barely above normal. then its a real chin scratcher and is debated in the profession as to how to treat these people. lots of factors. anyone who has ocular hypertension certainly needs a full workup for glaucoma: pressures visual field gonioscopy pachymetry nerve fiber layer analysis (my preference for this is a quot;GDXquot; test: http://www.meditec.zeiss.com/C125679E005...

Glaucoma is NOT a tumor. That said.... Ocular hypertension (OHT) is intraocular pressure higher than normal in the absence of optic nerve damage or visual field loss. Elevated IOP is the most important risk factor for glaucoma, so those with ocular hypertension are frequently considered to have a greater chance of developing the condition. Ok, now here is how it is realated to glaucoma: Glaucoma is a group of diseases of the optic nerve involving loss of retinal ganglion cells in a characteristic pattern of optic neuropathy. Although raised intraocular pressure (ocular hypertension) is a significant risk factor for developing glaucoma, there is no set threshold for intraocular pressure that causes glaucoma. One person may develop nerve damage at a relatively low pressure, while another person may have high eye pressure for years and yet never develop damage. Untreated glaucoma leads to permanent damage of the optic nerve and resultant visual field loss, which can progress to blindness.

Occular hypertension is elevated pressure in your eye. Glaucoma is a form of eye tumor.

Monday, March 22, 2010

Can anyone as young as 18 get hypertension? -

just wondering...

hypertension or any other conditions see no age...stay healthy hun

Yes--especially if they are overweight or have a pre-existing medical condition. My blood pressure has been on the high side (now it is just quot;Highquot;) since childhood. I have one kidney, hence the hypertension.

People of all ages can develop high blood pressure.

White coat hypertension? -

i am a fit 28 year old male, who exersises vigorously 6 times a week, eats plenty of fruits and vegetables, drinks no caffeine, does not smoke and is not overweight (maybe 3 kilos off my fighting weight). There is only late onset hypertension in my family and only a few of my extended family are sufferers at that. I do however get aprehensive whilst having my blood pressure checked for some unkwon reason. I regularly get readings of 160 to 140 (systolic) over 85 to 70 (diastolic). my pulse quickens during the process also. my question is... is it possible that mild to moderate anxiety could push my blood pressure up to these figures? or is it possible i am mildly hypertensive anyway? i am asymptomatic, but most hypertensive are. Any help would be greatly appriciated!

Its absolutely possible to have white coat hypertension...in cases like yours I suggest you get a home testing kit and take some measurements yourself and chart these for your Doctor to study. The Omron brand Blood Pressure machine is a good one. Its a good idea to take your machine in to your doctor when you go so they can test the reading against their professional equipment.. It is also possible that you are mildy hypertensive as well as suffering white coat syndrome. Usually once you are comfortable with your doctor the syndrome will resolve itself.

hey, you should check your pressure youself, buy a cuff or i think doctors give something to monitor your pressure while you are in your house. Anxiety does make blood pressure higher, this happens t me. Sometimes i have normal b.p other times i m at pre hypertension.

yes it happens to me. i have white coat hypertension. what my doctor does is take my bp...wait 15-20 minutes and then take it again. it is usually close to normal by then. i also take mine at home so i can bring the doc my readings.

Anxiety will raise your blood pressure. Next time you re in a department store that has a blood pressure machine check your pressure and compare.

Does hypertension and/or kidney stone(3.3mm) cause proteinuria? -

Two weeks ago, I was diagnosed to have 3.3mm stone/lithiasis in my lower left kidney calyces. Also my blood pressure varies from 120/90 to 140/90. I m 23 y/o male. Protein in the urine varies from trace to 3+. I m afraid that this leads to glomerulonephritis or end-stage renal failure other than just hypertension or kidney stone. In my case, is it treatable/curable? Please enlighten me. Thank you!!!

Yes, they both do. Treat your hypertension with anti hypertensive drugs your doctor will prescribe you (mine you, your target is a BP below 130/80 so you might not be prescribed any) and a change of lifestyle (no smoking nor drinkng no stress, no added salt in food and no fatty foods, also loose weight if you are too heavy for your height). Also, have your kidney stone zapped. Good luck.

Help!!!!!! hypertension ? -

sum1 i know is suffering fm high BP(hypertension) for 25 years.wat shud dat person follow so as turn it down to normal. wat shud b the diet to aid it.

They need to go to a doctor, psychologist, psychiatrist, counselor, etc.. they need to be on meds of some kind for anxiety too.

they need to be seeing a doctor to help them control their HTN (hypertension). They need to be on their meds to help control it plus eat a diet, preferably under 500 mg of sodium daily. Possibly diuretics too. they need to exercise as well. You did not mention if they have any kidney problems (on dialysis), heart or brain problems due to the HTN. They need to take it seriously because it does cause kidney failure, heart and brain too. sometimes it is possible to be doing all the right stuff but still have HTN no matter what they do. I have had many patients like that.

Eat green vegetables and fish. Foods high in potassium (for example bananas) are also especially effective in lowering blood pressure.

A low sodium, low cholesterol diet....he may also need to take medication.

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