Hypertension in Intensive Care Unit Patients.

Yıl 2016, Cilt: 6 Sayı: 2, 126 - 136, 19.10.2016

İlhan Kurultak Reyhan Calayoğlu

https://doi.org/10.16899/ctd.00834

Öz

Arterial hypertension, also has higher incidence in normal population, is a common problem in intensive care unit.  However the data regarding HT are particularly about the outpatients, who have variety of cardiovascular risks and it had remained limited in ICU patients. The ignoring of HT involuntary by health professionals who fight with the more complicated life threatening problems, the existence of different medical conditions of patients and variety of each individual needs can lead this situation. Despite of these difficulties, it is expected that the clinician should be successful to do correct action completely in management of HT like a lot of the other medical conditions. In this review, the evaluation and treatment of HT in ICU is examined in light of recent data.

Anahtar Kelimeler

Hypertension, Intensive Care Unit, Adult Patient

Yoğun Bakım Hastalarında Hipertansiyon

Öz

Hipertansiyon normal popülasyonda olduğu gibi, yoğun bakım hastalarında da sık karşılaşılan önemli bir problemdir. Ancak hipertansiyonla ilgili şu ana kadar literatürde oluşmuş bilgi birikimi daha ziyade ayaktan takip edilen kardiyovasküler riski orta ve yüksek olan hasta gruplarında yoğunlaşmış, yoğun bakım hastalarında sınırlı kalmıştır. Yaşamı tehdit eden öncelikli sorunların çözümü için uğraşan sağlık ekibi tarafından hipertansiyonun istemsiz göz ardı edilmesi, takip edilen her hastanın bireysel özelliklerinin ve medikal destek ihtiyaçlarının çeşitliliği bu duruma yol açıyor olabilir.  Bu zorluklara rağmen yoğun bakımda çalışan klinisyenden birçok konuda olduğu gibi hipertansiyonun yönetimi konusunda da doğru olanı eksiksiz yapması beklenmektedir.  Bu derlemede eldeki veriler ışığında yoğun bakım hastalarında hipertansiyonun değerlendirilmesi ve tedavisi irdelenmiştir.

Anahtar Kelimeler

Hipertansiyon, Yoğun Bakım Ünitesi, Erişkin Hasta

Kaynakça

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