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학습 자료 둘러보기 →The immediate priority is to elevate the head of the bed to a 90-degree (High Fowler's) position and dangle the legs. This uses gravity to orthostatically lower blood pressure and reduce intracranial pressure.
Simultaneously, quickly identify and remove the noxious stimulus. The most common cause is bladder distention. Check for kinks in the catheter tubing, perform straight catheterization if needed, or assess for fecal impaction.
Monitor blood pressure every 2-5 minutes until stabilized. If symptoms persist after removing the stimulus, administer prescribed rapid-acting antihypertensive agents as a secondary intervention.
Never place the patient flat or in Trendelenburg; this can cause a fatal stroke. If checking for impaction, instill an anesthetic lubricant first to prevent exacerbating the episode.
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