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Approach to Resistant Hypertension
Managing resistant hypertension, a condition where blood pressure remains elevated despite treatment, requires a comprehensive approach. Resistant hypertension is typically defined as high blood pressure that remains uncontrolled despite the use of three or more different antihypertensive medications. The first step in managing resistant hypertension involves lifestyle changes, including adopting a low-sodium diet, regular exercise, weight management, and reducing alcohol intake. Healthcare providers should review current medications to ensure optimal dosing and assess for potential drug interactions or contributing factors. Identifying and treating underlying causes of secondary hypertension, such as kidney disease or hormonal disorders, is crucial. Patients are often encouraged to monitor their blood pressure at home to assess its variability and ensure accurate readings. Using combination therapies that include different classes of antihypertensive drugs can be more effective in controlling resistant hypertension.
About the Speaker
Dr. Lissy George,
Consultant Physician, IQRAA hospital, Calicut, Kerala
Dr. Lissy George is a dedicated and compassionate physician with certification in Internal Medicine and extensive experience in diagnosing and treating multiple disease states and health concerns. She has a strong background working with diverse populations, including resource-limited settings, and a special interest in Preventive medicine, Obstetric Medicine, and academic activities. Dr. George has worked as a general practitioner and a junior medical officer in various hospitals and is currently working as a consultant in General Medicine.
Upcoming Case Discussions
Clinician’s Approach to Multiple Fractures
A clinician's approach to multiple fractures involves a systematic assessment to prioritize life-threatening injuries and stabilize the patient. This typically includes evaluating the severity and location of fractures, considering any associated complications like hemorrhage or organ injury, and determining the best course for surgical or conservative management. Early intervention, pain management, and multidisciplinary coordination are key to optimizing recovery and preventing long-term disability.
Diabetes Type 2 Early Intervention
Early intervention in Type 2 diabetes focuses on lifestyle changes, such as improved diet and regular physical activity, to prevent or delay the onset of the disease. Timely management, including monitoring blood sugar levels and addressing risk factors, can significantly reduce complications and improve long-term health outcomes.
Thyroid Hormone Imbalances in Women
Thyroid hormone imbalances are common in women and can significantly impact overall health. Conditions like hypothyroidism and hyperthyroidism can cause symptoms such as fatigue, weight changes, mood swings, and menstrual irregularities. Women are especially vulnerable to thyroid issues during hormonal shifts, such as pregnancy, postpartum, and menopause. Untreated thyroid imbalances may lead to complications, including infertility, osteoporosis, or heart problems. Early diagnosis through routine blood tests and effective management with medication, diet, and lifestyle changes are essential to maintaining thyroid health.
Approach to Severe Respiratory Distress in ED
In the emergency department, the approach to severe respiratory distress begins with a rapid assessment to determine the underlying cause, including airway obstruction, pulmonary pathology, or cardiovascular issues. Immediate interventions, such as oxygen supplementation, nebulized bronchodilators, intubation, or non-invasive ventilation, are implemented based on the severity and etiology, with close monitoring for signs of deterioration.
Non Invasive Ventilation in New Borns
Non-invasive ventilation (NIV) is a vital respiratory support method for newborns with breathing difficulties. It provides assistance without the need for intubation, reducing the risks of complications such as ventilator-associated infections. Common methods include Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP). NIV is often used to treat premature infants with respiratory distress syndrome or apnea. This approach promotes better lung development and improves overall neonatal outcomes while minimizing invasiveness.