Keywords: Hypertensive (PubMed Search)
Follow-up for the Hypertensive Patient
We see hypertensive patients every day, every shift. And, we discharge many of them. So, when do you get them follow-up?
The JNC-7 recommends that patients with BPs > 180/110 mm Hg have follow-up within 7 days. Like most of the HTN recommendations in the primary care setting, this recommendation is based on a "smart person" concensus....and no data.
This is a tremendous issue for us in the ED, because we don't want to see a bad outcome in our discharged hypertensive patients.
Some pearls regarding discharging the very hypertensive (but asymtomatic) patient: