Hypertension

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Trace DC67-7

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1. Purpose and clinical relevance

DiraChart Clinical Reference

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6. Red flags — escalate / transfer

*🚩 Red flags*
*Hypertensive emergency* *— very high BP with target-organ signs (chest pain, neurologic deficit, severe headache, visual change, dyspnea) — activate EMS/transfer.* *Suspected stroke* *with elevated BP — activate the stroke pathway (route to the Neurological reference); document time last-known-well.* *Symptomatic hypotension with a fall* *from over-treatment — hold the agent per parameters, protect from falls, and escalate.* *Chest pain / acute dyspnea* *with hypertension — escalate/transfer per the Cardiovascular red flags.*

🚩 Red flags

Hypertensive emergency — very high BP with target-organ signs (chest pain, neurologic deficit, severe headache, visual change, dyspnea) — activate EMS/transfer.

Suspected stroke with elevated BP — activate the stroke pathway (route to the Neurological reference); document time last-known-well.

Symptomatic hypotension with a fall from over-treatment — hold the agent per parameters, protect from falls, and escalate.

Chest pain / acute dyspnea with hypertension — escalate/transfer per the Cardiovascular red flags.

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