Monday, May 17, 2021

WORLD HYPERTENSION DAY 2021 By Dr. Anas Chika

WORLD HYPERTENSION DAY 2021.
May 17th, 2021
‘Measure Your Blood Pressure Accurately, Control It, Live Longer’

What is hypertension?
When the systolic blood pressure is 140 mm Hg or more and diastolic BP is 90 mm Hg or more, that stage is known as hypertension. When systolic blood pressure is between 120 to 139 mm Hg and diastolic blood pressure is between 80 to 89 mm Hg, it is known as the prehypertension stage.

It is important to take appropriate measures to control the disease in the prehypertension stage. Currently, more than 30 percent of the world’s adult population is suffering due to hypertension which amounts to 1 billion people.
Risks of high blood pressure can originate from many factors including age, race, family history, being overweight or obese or not being physically active, smoking, too much salt in your diet, too much alcohol, and stress.

Hypertension is generally a silent condition. Many people won’t experience any symptoms. It may take years or even decades for the condition to reach levels severe enough that symptoms become obvious. Even then, these symptoms may be attributed to other issues.

Symptoms of severe hypertension can include: headaches, shortness of breath, nosebleeds, flushing, dizziness, chest pain, visual changes
blood in the urine. These symptoms require immediate medical attention. They don’t occur in everyone with hypertension, but waiting for a symptom of this condition to appear could be fatal.

Hypertension is a major cause of a range of health problems such as strokes, heart attacks and kidney disease, blindness, and can also contribute to dementia. Many people who suffer from hypertension are not aware that they have it as there can be no symptoms, often people only find out after suffering a heart attack or stroke.

How to lower hypertension?

Maintain an active lifestyle: To keep the disease at bay, it is important to be active. Dedicate at least 30 minutes or 1 hour to yourself. Exercise or take a walk. 

Maintain a healthy diet: Add more fruits, vegetables, nuts, and low-fat dairy products to your diet. It is important to lower your salt intake. Avoid oily foods. 

Stop smoking and drinking: Both of these activities lead to high blood pressure in addition to various other diseases like cancer.

Take medication regularly: If a doctor has prescribed you medication to keep the blood pressure in control, it is of utmost importance that you do it without fail. Don’t stop taking medicines without the advice of your doctor

So join this year's world Hypertension day, test your blood pressure, learn about hypertension and stay healthy.

Dr. Anas Chika (MBBS 2020)
May 17th, 2021

Saturday, May 15, 2021

GOLDEN RULES OF EMERGENCY NURSING.


Golden rules of emergency nursing
1- An emergency is an emergency. It is only not an emergency in retrospect!
2- There is no such thing as a ‘minor’ injury. Behind any so-called ‘minor’ presentation there may be a ‘major’ one masquerading.
3- Remember that what looks trivial to you may have significant ramifications for the patient.
4- Don’t forget the fundamentals—communication and observation.
5- Monitors are an adjunct—nurse the patient not the monitor.
6- If you don’t like the patient spend twice as long with them’—that way you will minimize mistakes.
7- There is no such thing as a poor historian’—it is probably your inability to elicit the history.
8- A fall is only a fall after a collapse has been ruled out.
9- It may be a common injury or illness to you—remember it may be a first for the patient and carers.
10- Have a plan for the worst possible scenario—anything less is a bonus!
11- Expect the unexpected.
12- If the patient says they feel like they are going to die, believe them and do something about it!
13- Common things are common but they can still kill you—you can bleed to death from your nose or a large scalp laceration!
14- The patient is not drunk until they have experienced the hangover—do not be misled by the smell of alcohol.
15- In a woman of child-bearing age with abdominal pain—actively rule out ectopic pregnancy.
16- In all unwell patients—Don’t Ever Forget Glucose (DEFG).
17- When caring for children, toys and distraction are essential tools.
18- Do not attribute hyperventilation to hysteria until underlying pathology has been ruled out.
19- Do not dismiss or trivialize the frequent attender. They may have an underlying illness.
20- Ensure patients re-presenting with the same complaint are seen by someone senior.
Crouch, et al. (2009)