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Chronic Hypertension

WHAT YOU SHOULD KNOW:

Chronic hypertension is a long-term condition in which your blood pressure (BP) is higher than normal. Your BP is the force of your blood moving against the walls of your arteries. Normal blood pressure is less than 120/80. Prehypertension is BP between 120/80 and 139/89. High blood pressure is 140/90 or higher.

AFTER YOU LEAVE:

Medicines:

The following medicines may be ordered for you:

  • Blood pressure medicine is given to lower your blood pressure. A controlled blood pressure helps protect your organs, such as your heart, lungs, brain, and kidneys. You may need more than 1 type of blood pressure medicine. Take your blood pressure medicine exactly as directed.

  • Diuretics help decrease extra fluid that collects in your body. This will help lower your BP. You may urinate more often while you take this medicine.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

You will need to return to have your blood pressure checked and to have other lab tests done. Write down your questions so you remember to ask them during your visits.

Self-care:

  • Take your BP at home. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Follow the directions that came with your BP monitor. If possible, take at least 2 BP readings each time. Take your BP at least twice a day at the same times each day, such as morning and evening. Keep a log of your BP readings and bring it to your follow-up visits. Ask your healthcare provider what your blood pressure should be.



  • Eat less sodium. Foods that are high in sodium are table salt and salty foods, such as canned foods, potato chips, and cold cuts. Your healthcare provider may suggest that you follow the DASH Eating Plan. The plan is low in sodium, unhealthy fats, and total fat. It is high in potassium, calcium, and fiber. You get these nutrients by eating more fruits, vegetables, and whole grains. Ask your healthcare provider or dietitian what meal plan you should follow.

  • Exercise to maintain a healthy weight. Exercise at least 30 minutes per day, on most days of the week. This will help decrease your blood pressure. Ask about the best exercise plan for you.

  • Decrease stress. This may help lower your BP. Learn ways to relax, such as deep breathing or listening to music.

  • Limit alcohol. Women should limit alcohol to 1 drink a day. Men should limit alcohol to 2 drinks a day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.

  • Do not smoke: If you smoke, it is never too late to quit. Ask for information about how to stop smoking if you need help.

Contact your healthcare provider if:

  • You feel faint, dizzy, confused, or drowsy.

  • You have been taking your BP medicine and your BP is still higher than your healthcare provider says it should be.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You have a severe headache or vision loss.

  • You have weakness in an arm or leg.

  • You become confused or have difficulty speaking.

  • You have discomfort in your chest that feels like squeezing, pressure, fullness, or pain.

  • You suddenly feel lightheaded or have trouble breathing.

  • You have pain or discomfort in your back, neck, jaw, stomach, or arm.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Chronic Hypertension (Discharge Care)

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