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Avoid using normal saline solutions
- If a patient is hypertensive and you can not determine the reason, avoid using normal saline solutions or salt-based saline solutions.
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People also ask
Should hypertension be treated with normal saline?
Does saline infusion affect blood pressure control in hypertensive patients?
Does saline increase BPV in hypertensive patients?
Our study suggests that >500 mL of daily saline infusion for continuous 3 to 5 days may have disadvantages in the blood pressure control for hypertensive patients, especially for the patients with diabetes mellitus and cardiovascular diseases.
Aug 28, 2019 · Note that salt substitutes containing potassium chloride should not be used by older people, people with diabetes, pregnant women, people with kidney disease and people taking some antihypertensive drugs, such as ACE inhibitors and angiotensin II receptor blockers. Encourage salt reduction in these groups. [2004, amended 2019]
If drug treatment is required, start a trial of a renin–angiotensin system blocking drug as first-line treatment for hypertension in patients with type 1 diabetes.
If the patient is already on a calcium channel blocker, an alternative agent such as ACEI/ARB or a Beta-blocker can be prescribed. Avoid ACEI/ARB if suspected RAS. In general, once the hypertensive urgency has been addressed, treatment pathways should be guided by NICE and BHS algorithms.
Oct 21, 2019 · Discuss treatment with people with stage 1 hypertension and a 10 year risk for cardiovascular disease ≥10%. Choice of antihypertensive drug treatment should take into account patient preferences; a new decision aid has been produced to support this.
As previously, it is recommended that diagnosis is based on out-of-office measurement, given the risk of white-coat hypertension, defined as a difference of >20/10 mmHg between clinic readings and average daytime home or ambulatory measurements.
WHO suggests a target systolic blood pressure treatment goal of <130 mmHg in high-risk patients with hypertension (those with high CVD risk, diabetes mellitus, chronic kidney disease). Conditional recommendation, moderate-certainty evidence
