Precautions for hypertensive crisis in the elderly

Hypertension is one of the common diseases in society today. For middle-aged and elderly people, suffering from high blood pressure is a very common thing. The proportion of elderly people among them is extremely high, which has a great impact on their lives. Everyone knows that high blood pressure is caused by bad habits in life, such as overeating. And how many people know about hypertensive crisis in the elderly?

Hypertensive crisis in the elderly is due to the worsening of hypertension and complications in various organs of the body caused by hypertension. This is undoubtedly a dangerous upgrade and people have to take it seriously. So what should we pay attention to in the process of treating hypertensive crisis in the elderly?

When treating hypertension, monoamine oxidase inhibitors are often used. During medication, patients should not eat foods high in tyramine, such as lentils, mushrooms, pickled meat, pickled fish, cheese, yogurt, bananas, raisins, beer, red wine, etc. Tyramine can promote the release of a large amount of norepinephrine, causing a sharp increase in blood pressure and a hypertensive crisis. In addition, during antihypertensive treatment, patients should not take natural licorice or drugs containing licorice, because glycyrrhizic acid can cause hypokalemia and sodium retention. Electrolytic disorders are prone to occur when using diuretics, and attention should be paid to adjusting the sodium, potassium, and magnesium content in food. Tea leaves are easy to combine with drugs and precipitate, reducing the effect of the drugs, so it is forbidden to take antihypertensive drugs with tea.

a. The elasticity of the aorta in the elderly decreases, and carotid sinus atherosclerosis makes the pressure receptors unresponsive and the sinoatrial function weakened. Therefore, the use of drugs that inhibit myocardial contractility, inhibit sinoatrial function, and affect cardiac conduction function alone should be avoided.

b. Elderly patients with hypertension often have arteriosclerosis and should avoid excessive blood pressure reduction and large blood pressure fluctuations, which may lead to renal insufficiency.

c Elderly hypertensive patients are often accompanied by impaired renal function, and the dosage of antihypertensive drugs should be controlled at 1/2 to 2/3 of the regular dose.

d. Avoid the use of sympathetic ganglion blockers to prevent orthostatic hypotension.

e. Use mild, fast-excreting diuretics intermittently to avoid water and electrolyte imbalance.

The treatment of any disease, in addition to receiving treatment in the hospital, also requires the careful care of people in life. For diseases like hypertension, people should seek medical attention promptly when they discover the disease to prevent the condition from worsening and causing more serious diseases such as hypertensive crisis. This will only double the damage to people's bodies, not to mention a group of elderly and frail people.