Lin, female, 55 years old, was found to have high blood pressure by physical examination five years ago. She came to the community for filing and standardized management on 1 week. Briefly describe th

Lin, female, 55 years old, was found to have high blood pressure by physical examination five years ago. She came to the community for filing and standardized management on 1 week. Briefly describe the contents of follow-up of hypertension patients. Answer: (1) Measure blood pressure and evaluate whether there are critical symptoms, such as systolic blood pressure ≥ 180mmHg and/or diastolic blood pressure ≥110mmhg; Consciousness change, severe headache or dizziness, nausea and vomiting, blurred vision, eye pain, palpitation and chest tightness, dyspnea, inability to lie flat, blood pressure higher than normal during shock or lactation, or other incurable diseases, should be referred urgently after treatment. For emergency referral, community health service centers (stations), township hospitals and village clinics should actively follow up the referral within 2 weeks. If emergency referral is not needed, ask about the symptoms from the last visit to this visit.

(2) Measure weight and heart rate and calculate body mass index (BMI).

(3) Ask patients about their symptoms and lifestyle, including cardiovascular and cerebrovascular diseases, diabetes, smoking, drinking, exercise and salt intake.

(4) Understand the patients' medication.

(5) According to the patients' blood pressure control and symptoms and signs, the patients were evaluated and classified for intervention. ① Patients with satisfactory blood pressure control, no adverse drug reactions, no new complications or aggravation of the original complications, make an appointment for the next follow-up time. ② Patients who are dissatisfied with blood pressure control for the first time, that is, systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥90mmHg, or have adverse drug reactions, should increase the dosage of existing drugs, replace or add different antihypertensive drugs if necessary, and follow up for 2 weeks. ① For patients who are dissatisfied with blood pressure control for two consecutive times or whose adverse drug reactions are difficult to control, and have new complications or aggravated original complications, it is recommended to refer them to a higher hospital, and actively follow up and refer them within 2 weeks.