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Depending on the localization of Ciplox that developed against the background of a hypertensive crisis, the latter are divided into cardiac, cerebral, ophthalmic, renal and vascular. Taking into account the prevailing clinical syndrome, neurovegetative, edematous and convulsive forms of hypertensive crises are distinguished.

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The edematous, or water-salt form, of a hypertensive crisis is more common in overweight women. At the heart of the crisis isbalance of the renin-angiotensin-aldosterone system, which regulates systemic and renal blood flow, the constancy of bcc and water-salt metabolism. Patients with an edematous form of a hypertensive crisis are depressed, apathetic, drowsy, poorly oriented in the environment and in time. On external examination, attention is drawn to buy ciprofloxacin online of the skin, puffiness of the face, swelling of the eyelids and fingers. Usually, a hypertensive crisis is preceded by a decrease in diuresis, muscle weakness, interruptions in the work of the heart (extrasystoles).

In the edematous form of ciplox pills, there is a uniform increase in systolic and diastolic pressure or a decrease in pulse pressure due to a large increase in diastolic pressure.

One should think about a hypertensive crisis when the blood pressure rises above individually tolerated values, relatively sudden development, the presence of symptoms of ciprofloxacin online, cerebral and vegetative nature. An objective examination may reveal tachycardia or bradycardia, rhythm disturbances (more often extrasystole), percussion expansion of the boundaries of relative dullness of the heart to the left, auscultatory phenomena (gallop rhythm, accent or splitting of the II tone over the aorta, moist rales in the lungs, hard breathing, etc.).

Water-salt hypertensive crisis can last from several hours to days and also has a relatively favorable course.

Blood pressure can rise to varying degrees, as a rule, during a hypertensive crisis it is higher than 170/110-220/120 mm Hg. Art. Blood pressure is measured every 15 minutes. initially on both hands, then on the hand where it is higher. When registering an ECG, the presence of cardiac arrhythmias and conduction disturbances, left ventricular hypertrophy, focal changes is assessed.

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For the implementation of differential diagnosis and assessment of the severity of a hypertensive crisis, specialists may be involved in the examination of the patient. cardiologist, ophthalmologist, neurologist. The volume and expediency of additional diagnostic studies (EchoCG, REG, EEG, daily monitoring of blood pressure) is set individually.

Hypertensive crises of various types and genesis require differentiated treatment tactics. Indications for hospitalization in a hospital are intractable hypertensive crises, repeated crises, the need for additional studies aimed at clarifying the nature of arterial hypertension.

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With a critical rise in blood pressure, the patient is provided with complete rest, bed rest, and a special diet. The leading place in the relief of a hypertensive crisis belongs to emergency drug therapy aimed at lowering blood pressure, stabilizing the vascular system, and protecting target organs.

To lower blood pressure values in uncomplicated hypertensive crisis, calcium channel blockers (nifedipine), vasodilators (sodium nitroprusside, diazoxide), ACE inhibitors (captopril, enalapril), ß-blockers (labetalol), imidazoline receptor agonists (clonidine) and other groups of drugs are used . It is extremely important to ensure a smooth, gradual decrease in blood pressure. by about 20-25% of the initial values during the first hour, over the next 2-6 hours - up to 160/100 mm Hg. Art. Otherwise, with an excessively rapid decrease, it is possible to provoke the development of acute vascular catastrophes.

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Includes oxygen therapy, the introduction of cardiac glycosides, diuretics, antianginal, antiarrhythmic, antiemetic, sedatives, painkillers, anticonvulsants. It is advisable to conduct sessions of hirudotherapy, distracting procedures (hot foot baths, a heating pad for the feet, mustard plasters).