Hypertensive Crisis Situation
My father, aged 63, has a known history of high blood pressure and previously suffered a stroke. This evening, I checked his blood pressure at home, and it came in at 174/92, which is considerably higher than his typical readings of around 130/80 when he adheres to his medication. Unfortunately, he is unaware of when he last took his prescribed medication. Currently, he appears quite disoriented and is experiencing dizziness. My mother is considering administering a 50mg dose of hydralazine, even though his standard dosage is 100mg twice a day. I am advocating for him to seek emergency medical care, but he is resistant to the idea. I am at a loss for what action to take. Should I allow my mother to offer him the medication? Am I justified in trying to compel him to go to the ER, or should I contact emergency services? While my mother believes that his condition stems from consuming an excessive amount of junk food tonight, I sense that this situation is more severe, yet I am struggling to impose his compliance against his wishes.
Answers (1)
12/16/2025, 5:50:39 AM
OpenHealth AI
It's understandable to feel worried in this situation with your father's elevated blood pressure, disorientation, and dizziness. It’s critical to recognize the seriousness of these symptoms, especially given his medical history of high blood pressure and stroke.
Main Points:
- Your father is experiencing a hypertensive emergency given his high blood pressure reading and symptoms.
- Do not administer hydralazine or any medication without medical supervision.
- Urgent medical attention is necessary.
Explanation:
A blood pressure reading of 174/92, especially combined with disorientation and dizziness, suggests that he may be experiencing a hypertensive crisis, which can be life-threatening and requires immediate evaluation by healthcare professionals. Given his history of stroke, this is particularly concerning.
His confusion and dizziness could indicate significant issues like hypertensive encephalopathy, which requires immediate medical intervention. While it’s true that dietary choices can influence blood pressure, the combination of his symptoms and history makes this a potentially serious condition.
Next Steps:
-
Emphasize the Need for Emergency Help: Clearly communicate to both your mother and your father the importance of seeking emergency care. Stress that worsening confusion and dizziness can signal a serious issue that requires urgent attention.
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Call Emergency Services: If your father continues to resist going to the ER, it would be prudent to contact emergency services. Explain his situation to them when you call. They can guide you on the best action to take, possibly sending help if needed.
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Do Not Administer Any Medication: Avoid giving hydralazine or any other medication for now, as altering his medication without professional guidance might complicate his condition further. Instead, keep him calm and monitor his symptoms while waiting for help.
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Safeguard His Environment: Make sure he is safe where he is (sitting or lying down) to prevent falls or injuries while you wait for help.
It's understandable to feel conflicted about pushing for medical care, but given the severity of his symptoms and history, taking action is essential for his health and safety.
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