Hypertension should abate once offending agent corrected (normal = SBP 90-110 mmHg)
Check urinary catheter for any blockage or twisting
If cath blocked, gently irrigate bladder with NS at body temp
If cath is draining, suspect fecal impaction and check rectum for stool with lidocaine jelly lube - gentle disimpaction to follow
Careful inspection of nonsensate areas to identify the source of painful stimuli
e.g. catheter, restrictive clothing, leg bag straps, abdominal supports, orthoses
If cath blocked, gently irrigate bladder with NS at body temp
If cath is draining, suspect fecal impaction and check rectum for stool with lidocaine jelly lube - gentle disimpaction to follow
e.g. catheter, restrictive clothing, leg bag straps, abdominal supports, orthoses
Place in an upright position to allow gravitational pooling of blood to reduce BP
BP meds if SBP > 150
Use short-acting (since offending agent must be corrected); use with caution in CAD
Nifedipine immediate release
Nitroglycerine sublingual
Use short-acting (since offending agent must be corrected); use with caution in CAD
Nifedipine immediate release
Nitroglycerine sublingual
Autonomic dysreflexia
Hypertensive emergency
Focal neurologic deficits
Stroke
Gastroparesis
Sympathetic crashing acute pulmonary edema
Tick paralysis
Ischemic stroke