- 108.9k views
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
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Medical Management of Endometriosis
Medical management of endometriosis typically involves the use of hormonal therapies such as birth control pills, progestins, or GnRH agonists to reduce estrogen levels and suppress the growth of endometrial tissue. Pain management with NSAIDs, as well as targeted treatments like aromatase inhibitors or the use of intrauterine devices (IUDs), can help alleviate symptoms. In some cases, additional treatments like surgery may be considered for severe cases or when fertility is a concern.
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.
Author Post
Impact
+
Talks
+
webinar
+
no.of registrations
One liner about speaker
Why is speaker relevant?
Dr. Lissy George,'s Talks on Assimilate
- 11th-October-2023, TIME : 03:00PM - 04:00PM
- 0
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.