Managing High Blood Pressure: When to Seek Medical Attention

Q: Managing High Blood Pressure: When to Seek Medical Attention

Hello： It is recommended to sit quietly and rest before measuring blood pressure (you may also watch television during this time). <br>After resting for 20 to 30 minutes, measure your blood pressure, as this will yield more accurate readings. <br>If your blood pressure remains el

Can blood pressure be lowered to a safe level all at once?

Hello Dr.
Lin, my sister discovered her blood pressure was high at 194 on the 25th.
On the 27th, she and our mother returned to Taoyuan, and at home, her blood pressure readings were mostly around 175-200 after measuring three times.
So on the 27th, I took her to the cardiology department at the Taoyuan branch hospital, where her readings were also mostly between 175-200.
The doctor prescribed 24 blood pressure pills, to be taken one a day, but she also took one pill at noon.
When we measured her blood pressure at home in the evening, the readings were 185/92 with a pulse of 68.
Should we schedule another appointment to see a doctor in the next two days, or should we wait for her follow-up appointment on January 18th? My sister rarely sees a doctor and seldom measures her blood pressure, and she doesn't have any significant symptoms.

On the morning of the 28th, after my sister just woke up, I measured her blood pressure and it was alarmingly high at 214.
This was quite frightening.
I hope the doctor can provide some guidance.
Should I let her take the blood pressure medication prescribed yesterday, which is Good Health 50/12.5mg? After taking the medication, one hour later at 11:30, her reading was 167.
After another five hours, it was 188, and after another five hours, it was 200.

Dr.
Lin, could you advise us on whether we should see a doctor again, or should we wait until January 18th for her appointment? Would it be acceptable to monitor her condition for a month? Please provide your guidance.
Wishing you safety and well-being.

Lai Pi, 50~59 year old female. Ask Date: 2008/12/28

Dr. Lin Jixiong reply Cardiology

Hello: It is recommended to sit quietly and rest before measuring blood pressure (you may also watch television during this time).
After resting for 20 to 30 minutes, measure your blood pressure, as this will yield more accurate readings.
If your blood pressure remains elevated after taking antihypertensive medication, it may indicate that the dosage is insufficient.
In such cases, a second antihypertensive medication may need to be added for combination therapy.
You do not necessarily have to wait for your scheduled follow-up appointment; you can also register for an earlier visit to consult with your physician about adjusting your medication regimen.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital.

Reply Date: 2008/12/28

More Info

Managing high blood pressure, especially when it spikes to levels like 194 or even 214, is crucial for preventing serious health complications. Given your sister's situation, it is important to understand when to seek medical attention and how to manage her condition effectively.

When to Seek Medical Attention
1. Severe Hypertension: Blood pressure readings above 180/120 mmHg are considered hypertensive emergencies. If your sister's blood pressure continues to exceed these levels, it is essential to seek immediate medical attention. Symptoms such as severe headache, shortness of breath, chest pain, or vision changes may also indicate a need for urgent care.

2. Persistent High Readings: If her blood pressure remains consistently high (e.g., readings above 175-200) despite medication, it is advisable to consult a healthcare provider sooner rather than later. The medication prescribed by her doctor may need adjustment, or she may require additional treatments.

3. New Symptoms: If she develops any new symptoms, such as dizziness, confusion, or any signs of a stroke (like facial drooping, arm weakness, or speech difficulties), you should seek emergency care immediately.

Managing High Blood Pressure at Home
1. Medication Adherence: It is crucial that your sister takes her prescribed medication as directed. If she has been prescribed a specific antihypertensive medication, she should continue taking it even if she feels fine. Missing doses can lead to spikes in blood pressure.

2. Monitoring Blood Pressure: Regularly monitoring her blood pressure at home can help track her condition. It’s important to measure it at the same times each day and under similar conditions (e.g., after resting for 5 minutes, sitting comfortably).

3. Lifestyle Modifications: Encourage her to adopt lifestyle changes that can help manage blood pressure:
- Diet: A heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and low-fat dairy, can be beneficial.

- Exercise: Regular physical activity can help lower blood pressure. Aim for at least 150 minutes of moderate aerobic exercise each week.

- Stress Management: Techniques such as yoga, meditation, or deep breathing exercises can help reduce stress, which can contribute to high blood pressure.

4. Follow-Up Care: While waiting for the scheduled appointment on January 18, it is essential to keep an eye on her blood pressure readings. If they remain high or worsen, do not hesitate to seek earlier medical advice.

Conclusion
In summary, given your sister's high blood pressure readings and the potential risks associated with uncontrolled hypertension, it is advisable to consult her healthcare provider sooner rather than later, especially if her blood pressure remains elevated despite medication. Encourage her to adhere to her prescribed treatment, monitor her blood pressure regularly, and make necessary lifestyle changes. If any alarming symptoms arise, do not hesitate to seek emergency care. Your proactive approach can significantly impact her health and well-being.

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