High blood pressure

Bleep triage

How fast

Within 1–2 hours

Add to your jobs list; go now if a red flag applies.

Go now if

  • Headache, visual change, confusion, seizure, chest or back pain, breathless
  • Pregnant or recently delivered
  • Recent stroke or thrombolysis

Ask on the phone

  1. Reading, repeated manually? Usual BP?
  2. Pain, full bladder, missed regular medication?
  3. Any symptoms?
Every bleep: the basics
  • Name, ward, bed, age, why they're in hospital.
  • Full set of obs and the NEWS2 score — and what it was before.
  • Resuscitation status (DNACPR / ReSPECT) and ceiling of care.

Ask the nurse to start

  • Repeat manually after rest; give due regular medications.
  • Analgesia if in pain; bladder scan.

Call your senior if

  • Any sign of target organ damage or pregnancy-related hypertension.

When you get there

Sources (1)

For healthcare professionals, as an aid to clinical judgement — not a substitute for it. Follow your local policy and ask a senior when in doubt.