Ms. Wang, 55 years old, has suffered from high blood pressure for many yearsDue to busy work and carelessness, they often forget to take their blood pressure medication on time, resulting in poor blood pressure control. Recently, Ms. Wang had persistent symptoms of headache, dizziness and palpitations, which gradually worsened, and eventually faintedHer family immediately sent her to a nearby emergency department for medical attention.
After Ms. Wang was taken to the emergency department, the medical staff immediately treated her with first aidFirst, the patient's vital signs were monitored, and it was found that the patient's blood pressure remained high, reaching 198 110mmHg, the heart rate increased significantly, arrhythmia appeared, and the headache persisted. We immediately perform a blood test,The results showed a hemoglobin level of 195 g l, the level is markedly elevated, the white blood cell count is markedly elevated, and the patient develops an inflammatory responseTroponin T is 03μg/l，Although the diagnostic criteria for acute myocardial infarction are not metHowever, damage to cardiomyocytes can be determined.
Then we performed an electrocardiogram (ECG), which showed that the Q wave was significantly flattened, indicating that the cardiomyocytes were ischemia, and we performed a CT scan of the headThe results showed that Ms. Wang had significant cerebral edema, which required immediate measures due to varying degrees of damage to her heart and brain function**.
Due to Ms. Wang's abnormally elevated blood pressure and accompanying symptoms of heart and brain damage, it was decided to give medication to lower blood pressure**. According to the patient's condition, select the appropriate rapid antihypertensive drug nitroglycerin, monitor the changes in blood pressure and heart rate, and adjust the drug dose in time to ensure that the blood pressure is stable
At the same time, Ms. Wang was given supportive**, including oxygen therapy, ECG monitoring and other measures to help the patient maintain vital signs and stabilize the condition; Considering that Ms. Wang's heart and brain function is impaired, relevant drugs** and nursing measures are given to protect heart and brain function and mitigate further damage.
During the first aid process, we learned about Ms. Wang's recent forgetting of medication, and provided education and guidance to her and her family, emphasizing the importance of taking antihypertensive drugs on time and according to the dosage, and put forward suggestions for following the doctor's instructions, taking the medication regularly, and monitoring blood pressureThrough a series of ** Ms. Wang was out of danger of life, and her vital signs gradually stabilized. This case reflects that patients with high blood pressure forget to take their medications, and the consequences of disobeying the doctor's instructions are serious.
In Ms. Wang's case, her blood pressure was poorly controlled due to frequent forgetting to take medication, which eventually led to an emergency illness that posed a serious threat to her life and health. Medication** is an important means of controlling hypertension, but only when patients maintain medication compliance and take drugs on time and according to the dosage can they effectively control the condition and reduce the risk of cardiovascular events.
Therefore, patients need to pay attention to medication compliance, establish healthy medication habits, follow the doctor's instructions, take medications regularly, and develop the habit of regular follow-upTo raise our awareness and attention to the management of hypertension and work together to prevent and control hypertension, we will take a closer look at it below.
Many patients have various problems in the process of taking drugs, such as changing the dosage of drugs at will, not taking drugs on time, stopping drugs on their own, etc., and some patients have particularly unhealthy eating habits, such as eating some high-salt foods and high-oil foods for a long time, and consuming too much salt will lead to an increase in sodium levels in the body, causing water retention in the body, increasing blood volume, and increasing blood pressure
Long-term high blood pressure can damage the walls of blood vessels, increasing the risk of arteriosclerosis and cardiovascular disease. Foods high in oil can lead to elevated blood lipids, which can also cause damage to the walls of blood vessels. Wrong medication and poor eating habits are all reasons for the decrease in effectivenessThese conditions are the manifestations of poor compliance of patients, which can easily lead to hypertensive crisis, and poor compliance will have adverse effects on the health of patients.
First, poor adherence can lead to poor disease control
Antihypertensive drugs need to be taken consistently and steadily to have the best effect, and if patients do not take the medication on time and in the right amount, it will lead to blood pressure fluctuations and poor control, increasing the risk of cardiovascular and cerebrovascular events。For example, if the patient takes medication intermittently or irregularly, the blood pressure may rise, which can easily lead to a hypertension crisis, and even lead to serious consequences such as stroke and myocardial infarction.
Second, poor adherence increases the risk of medication***
Although antihypertensive drugs can effectively control hypertension, they can also cause some adverse reactions to a certain extent, such as dizziness, fatigue, edema, etc
If a patient does not take the medication as prescribed or reduces the amount of the medication on their own, it increases the likelihood of the drug*** occurring. At the same time, the irrational use of antihypertensive drugs may also lead to an increase in drug resistance, reduce the efficacy of drugs, and make ** meaningless.
Thirdly, poor compliance can affect the patient's ** effect and quality of life
High blood pressure is a chronic condition that requires long-term medication to stabilize blood pressure. If the patient has poor adherence, it will not only lead to poor blood pressure control, but also increase the severity and risk of the disease, affecting the patient's health and quality of life. In addition, poor medication behaviors and attitudes can also cause distress and conflict to doctors and family members, and affect the cooperation between patients and the medical team.
Finally, poor compliance will increase the waste of medical resources
Due to poor patient compliance, the disease is poorly controlled, and frequent visits and adjustment of the ** plan are required, which increases the consumption of medical resources。Due to the non-standard use of antihypertensive drugs, the disease worsens, and eventually more expensive and complex means, which increases the economic burden on the family and society.
Poor compliance is an important reason for the non-standard use of antihypertensive drugs and poor disease control. In order to ensure the efficacy and safety of antihypertensive drugs, patients should take the medication strictly according to the doctor's instructions, maintain regular and stable medication habits, and avoid interrupting or adjusting the dosage of the drug by themselves.
At the same time, doctors should also strengthen the education and guidance of patients, help patients establish a correct concept of medication, improve medication compliance, and jointly maintain the health and quality of life of patients, so as to avoid hypertensive crisis.
Hypertensive crisis refers to the extreme risk situation of hypertensive patients in a short period of time, manifested by a sharp increase in blood pressure, accompanied by severe brain, heart, kidney and other organ dysfunction and symptoms, and even life-threatening conditions.
It is an acute complication that requires prompt diagnosis and emergency treatment to reduce the occurrence of serious complications. Common types of hypertensive crises include acute hypertensive crises and hypertensive emergencies
Acute hypertensive crisis generally refers to a rapid increase in blood pressure accompanied by cerebrovascular lesions, such as hypertensive stroke, hypertensive intracerebral hemorrhage, etc., while hypertensive emergencies refer to a situation with increased blood pressure accompanied by cardiovascular lesions, such as acute left heart failure, aortic dissection, etc.
The mechanism of hypertensive crisis is mainly due to the failure of patients to effectively control long-term chronic hypertension, resulting in changes in the structure of blood vessel walls, endothelial dysfunction, and weakened adaptation of various organs in the body to hypertension.
In an acute hypertensive crisis, patients often have obvious neurological symptoms, such as coma, impaired consciousness, etc., while in hypertensive emergencies, patients are more likely to have cardiovascular events, such as myocardial infarction, arrhythmias, etc.
Hypertensive crises require prompt intervention to prevent serious complications. Principles of hypertensive crisis include urgent blood pressure lowering, control of symptoms and complications, improvement of organ function, and stabilization of the patient's condition.
In acute hypertensive crisis, commonly used antihypertensive drugs include nitroglycerin, labetalol, etc., while in hypertensive emergencies, appropriate antihypertensive drugs and regimens need to be selected according to the specific situation of the patient.
In addition to medications**, patients also need close observation and monitoring, including blood pressure monitoring, ECG monitoring, blood biochemical index monitoring, etc., to evaluate the patient's condition and ** effect.
At the same time, effective measures are taken to keep the patient's breathing smooth, maintain water and electrolyte balance, monitor kidney function, etc., and deal with possible complications in time to ensure the safety of patients.
Hypertensive crisis is an acute complication of hypertensive disorders that requires serious attention. Through scientific and reasonable crisis intervention, the incidence and severity of hypertensive crisis can be effectively reduced, and the survival rate and quality of life of patients can be improved.
The key to preventing hypertensive crisis is to strengthen the management of hypertension, maintain regular medication, adjust lifestyle, control risk factors, etc., so as to reduce the occurrence of hypertensive crisis, especially pay attention to correct medication and improve medication compliance.
1) Access to education and information transfer:
Doctors will provide people with information about high blood pressure and antihypertensive drugs, including the dangers of the disease, the mechanism of action of the drugs, and the importance of taking them
By receiving education in this area, we can better understand our own diseases and enhance our confidence in medications, thereby improving medication compliance and helping us to establish correct medication concepts.
2) Accept personalized ** plan:
According to the characteristics and needs of different patients, develop a personalized plan. Considering the patient's age, gender, lifestyle, drug allergy history and other factors, the most suitable antihypertensive drug and medication regimen are selected。Individualized** protocols can improve our satisfaction and adherence, and reduce the risk of adverse reactions and drug interactions. Therefore, we must strictly follow the doctor's instructions to take the medication, and do not stop the medication on our own to avoid missing the dose.
3) Establish a good doctor-patient relationship:
Communication and trust between physicians and patients are key to improving medication adherence. The doctor will listen to our opinions and needs, respect our choices, and establish a good relationship with us
In the process of taking medicine, we should consult our doctor in time if we have some questions, solve the problem of medication with the help of doctors, and do not increase or decrease the dosage or stop the drug without authorization, which can not only improve the doctor's effect, but also enhance our confidence.
4) Regular follow-up and monitoring:
Regular follow-up visits and monitoring are important means to ensure our medication adherence. Doctors can understand the patient's medication and efficacy through regular follow-up visits, and adjust the ** plan in time. At the same time, regular monitoring of blood pressure and the occurrence of drugs can help doctors evaluate the best effects, remind us to adhere to medications, and reduce the risk.
To prevent forgetting to take your medication, we can set up an alarm on our phone to keep the medication in a fixed location, or we can tell our family members to help remind us to take our medication on time. Through comprehensive measures in various aspects, we can effectively improve our medication compliance and achieve better results.
Forgetting to take medicine, stopping the drug without authorization or increasing or decreasing the dosage without authorization are all poor compliance with medication, so it is really dangerous to take blood pressure medication, and many patients are still committing it, so they should be corrected quickly. Ms. Wang mentioned above often forgets to take antihypertensive drugs, resulting in emergencies, heart and brain damage to varying degrees, fortunately, the rescue is timely and does not threaten life and health, this case reminds us that it is very important to improve medication compliance, especially for people who take medication for a long time, and must pay attention to medication safety.
Literature Reference:February** Dynamic Incentive Program1.Gu Sheng. Research progress on the relationship between medication adherence and drug ** effect[J].China Pharmacy, 2015, 26(7): 1020-1022
2.Luo Jiangxue, Chen Qingting. Research on influencing factors and intervention strategies of medication adherence in patients with chronic diseases[J].Journal of Clinical Electrocardiology, 2017, 26(2): 248-251