Hypertensive encephalopathy treatment principles?

Hypertensive encephalopathy is a common medical emergency, and take relief measures to control twitch, reducing intracranial pressure, is expected to soon be improved, Otherwise, due to increased intracranial pressure continued, resulting in irreversible brain damage or death formation herniation. (1) control blood pressure. In the treatment of various types of acute hypertension drug choice, hypertensive encephalopathy drug of choice, the past 10 years than is recognized by the SNP. It antihypertensive effect of fast, short half-life and reliable, intravenous immediate effect, after the withdrawal role soon disappear. Usage : 30 mg sodium nitroprusside to 5% glucose 500 ml infusion every 10 ~ 30 minutes to drop, But the administration should pay attention to the process of monitoring blood pressure, severe liver and kidney failure and cardiac dysfunction should be careful in using. Secondly, chlorobenzene A Thiazide arterial smooth muscle of a small expansion, rapid and effective relief. 2 ~ 5 minutes maximum antihypertensive effect. Usage : first with 150 ~ 300mg to 5% ~ 40 ml of glucose infusion, every minute a ~ 2 ml. General Dropping into effect within a few minutes, sustained six-eight hours. If necessary, two hours after injection of a repeat meeting. (2) suppression of convulsion, stability can give 10 ~ 20 mg intravenously, if necessary, 30 minutes after injection of a meeting, stop until convulsion. Irritability can be excited if 10% chloral hydrate solution retention enema, or give other disorders. (3) reducing intracranial pressure, cerebral edema control. ① may choose to use hypertonic dehydration agent 20% mannitol intravenous 250 ml, 4 ~ 6 hours a time. ② Diuretics can also be used strong 20-40mg furosemide diuresis or 25 ~ 50 mg sodium to 5% glucose 20 ~ 4 bet intravenously. ③ dexamethasone 10 ~ 20 mg intravenously, 2 times a day are better reducing the intracranial pressure. (4) to strengthen care, maintaining water and electrolyte balance. Right convulsion and coma patients to strengthen care, to keep the airway open, avoid injury, and should pay attention to water and electrolyte balance.