### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband blood pressure went from  140 over 75 to 168 over 75.  It has been like this for about a wk. He also has shortness of breath .  He is being monitored and has been on bp meds for several yrs.  This  jump in bp occurred while on IV vancomycin and oral cipro.  He was taken off the antibiotics 4 days ago because creatin levels were too high.  Shouldnt his bp return to his normal by now?  What is causing the shortness of breath?

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to give you my opinion about this. When we treat a hypertensive patient our goal is to keep the blood pressure below 140/90 mmHg. If it exceeds this mean values than we should intervene to correct the therapy. The most important thing is to ménage the problems or the reasons that might have cause this blood pressure altering. As you mention, your husband has been on antibiotics, so he might have an active infection. Sometimes this infection alter the hole metabolism and blood pressure. But the most important thing is to evaluate the renal function. Hypertension is strongly related with alteration of renal function. So the most important thing is to ménage the renal function and to correct the blood pressure medication according to renal function. You must know that there are some antihypertensive Chat Doctor. Normally if renal function is improved this is better in controlling blood pressure values, so thinks should be improved. But even though, we can ménage thinks with adding or correcting blood pressure medicines. Excessive blood values might be the cause of shortness of breath. If I was your treating doctor I will ask for a fool blood analyze to check the renal creatinine, a cardiac echo to check heart function and a holder blood pressure monitoring to evaluate values through day and night. Only after these examinations we can better judge how to correct the 