Assignment: Severe Hypertension

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Assignment: Severe Hypertension

Assignment: Severe Hypertension

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Titration can be used as a procedure for anesthesia induction where severe hypertension grade is established. Propofol affects vasoreactivity, which causes development of hypertension and reduced by slow induction (de Waal et al., 2015). Thirdly, blood pressure monitoring should be observed and complemented with intermittent measurements. Therefore, continuous measurements using arterial lines are an important consideration for emergency cases of surgery for patients with high hypertension.

As a management strategy, it is important to avoid any build-up of blood pressure in hypertension patients. This is important because it will reduce any chances of bleeding during the surgical process (de Waal et al., 2015). In the process of surgery, using anesthesia like sevoflurane initiates development of sympathetic blockade and this can reduce blood pressure. However, it is important to add antihypertensive diagnosis (de Waal et al., 2015). Similarly, it is important to control shivering because it is important to the titration process using drugs like nicardipine and esmolol.

Lastly, treatment of chronic hypertensive patients must be addressed as soon as possible, especially where it forms part of the multidrug regimen as a basis of preventing development of cardiovascular risks (Lee et al., 2015). In order to manage the perioperative period characterized by hemodynamic instability, beta-blocker can be utilized (Fleisher et al., 2014). Therefore, it is important for the doctor to resume treatment immediately with angiotensin receptors as a basis or reducing postoperative death of hypertension patients (European Society of Cardiology, 2014).

Conclusion . Hypertension remains an important concern for anesthetist before performing any surgery procedures. This is important because it forms the first etiology in the development of severe cardiovascular diseases for aged patients undergoing surgery. Secondly, HTA management has improved, but majority have failed to control hypertension during surgery. Therefore, a proper understanding of pathophysiology, little consideration of risk caused by antagonism of anesthesia and chronic treatment, security of drugs used and antihypertensive IV diagnosis of an important platform for anesthetist to prepare treatment and management of perioperative period.


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