Patients with elevated blood pressure and no symptoms should be referred for outpatient follow-up without a specific ED-based intervention. Patients with blood pressure > 160/100 mm Hg should be referred to their primary care provider for re-evaluation within a month. However, outpatient follow-up within a month is often difficult to secure, even for those with primary care physicians; up to one-third are unable to obtain appointments. Discharge instructions should advise patients to return if they experience severe headache, focal weakness or numbness, chest pain, shortness of breath, or any worsening symptoms.
To continue reading, please log in or purchase access.