Care for patients with hypertension before and after an intervention procedure on the renal arteries

    Authors

    Keywords

    hypertension, renal angiography

    DOI

    https://doi.org/10.15836/ccar2021.365

    Full Text

    Poorly regulated blood pressure values or poor therapeutic response to antihypertensive therapy are required in the case of proven anatomical or pathological changes in the renal arteries during therapeutic interventional procedures such as dilation or, if necessary, implantation of the stent. ( 1 ) The care of such a patient includes mental and physical preparation, carrying out diagnostic procedures such as laboratory blood tests, imaging methods (MSCT angiography of renal arteries and abdominal aorta), continuous measurement of blood pressure and preparation for intervention and continuous nursing care after the interventional procedure of renal artery dilation. Angiography is considered a safe procedure, but there are rare complications: hematoma and pain at the puncture site, allergic reaction to the contrast agent, infection at the puncture site, kidney damage by contrast agent, heart attack or stroke, damage to the artery. After completing the procedure, angiography, rest, control of the vital functions and fluid balance sheets with a view to preventing any complications and monitoring the patient’s health status. It is recommended that you drink a larger amount of liquid to expel the contrast agent from the organism by urination. After completing hospital treatment, it is possible to return to daily activities, although it is good to avoid more severe strain (e.g., lifting severe subjects) for the first week. Existing cardiovascular diseases, hyperlipidemia, diabetes, age of the patient, and body weight require an individualized approach to the patient in the diagnosis of diagnostics and therapeutic intervention procedure.

    Cardiologia Croatica
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    Care for patients with hypertension before and after an intervention procedure on the renal arteries

    Case Report
    Issue11-12
    Published
    Pages365
    PDF via DOIhttps://doi.org/10.15836/ccar2021.365
    hypertension
    renal angiography

    Authors

    Đurđa Vlajković*ORCIDUniversity Hospital Centre „Sestre milosrdnice“, Zagreb, Croatia
    Cecilija LeporićORCIDUniversity Hospital Centre „Sestre milosrdnice“, Zagreb, Croatia
    Božica LeškoORCIDUniversity Hospital Centre „Sestre milosrdnice“, Zagreb, Croatia

    Full Text

    Poorly regulated blood pressure values or poor therapeutic response to antihypertensive therapy are required in the case of proven anatomical or pathological changes in the renal arteries during therapeutic interventional procedures such as dilation or, if necessary, implantation of the stent. ( 1 ) The care of such a patient includes mental and physical preparation, carrying out diagnostic procedures such as laboratory blood tests, imaging methods (MSCT angiography of renal arteries and abdominal aorta), continuous measurement of blood pressure and preparation for intervention and continuous nursing care after the interventional procedure of renal artery dilation. Angiography is considered a safe procedure, but there are rare complications: hematoma and pain at the puncture site, allergic reaction to the contrast agent, infection at the puncture site, kidney damage by contrast agent, heart attack or stroke, damage to the artery. After completing the procedure, angiography, rest, control of the vital functions and fluid balance sheets with a view to preventing any complications and monitoring the patient’s health status. It is recommended that you drink a larger amount of liquid to expel the contrast agent from the organism by urination. After completing hospital treatment, it is possible to return to daily activities, although it is good to avoid more severe strain (e.g., lifting severe subjects) for the first week. Existing cardiovascular diseases, hyperlipidemia, diabetes, age of the patient, and body weight require an individualized approach to the patient in the diagnosis of diagnostics and therapeutic intervention procedure.