How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Chip Your Own Question
Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 36123
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Type Your Medical Question Here...
Dr. Chip is online now

I want to know if an 83 year old woman, who has been previously

This answer was rated:

I want to know if an 83 year old woman, who has been previously very well with a history of raised blood pressure on blood pressure medication once a day presents with a history of the following - what would be the treatment.
raised bp - 190/110
raised pulse - 150 b/m
'funny turn' at ten am, waited two hours to see if bp came down and pulse came down before calling GP out.
Hi. What blood pressure medication is she on? What did you mean by funny turn?
Customer: replied 3 years ago.

She felt light headed, disorientated and dizzy. I am not sure what medication she is on, but she has been on it for several years, once a day slow release.

My concern is that she needs admission for stroke assessment, not an ecg in a few days time!

OK Jude. I fully agree with you that she needs to be in the ER. That blood pressure was much too high and it may be that she had a run of something called atrial fibrillation which can cause a stroke. If may just be that the arrhythmia itself caused her symptoms and this wasn't a threatened stroke but still she needs immediate evaluation
Customer: replied 3 years ago.

The reason I am asking is that her GP has asked her to have an ecg and recommended medication to thin the blood ...... I am not happy and think she needs stroke assessment. I am a midwife but no expert in these matters. But I am in the UK where the NHS is on its knees, so GP's are under pressure not to admit patients to hospital.

I understand Jude. But she needs an immediate ECG to look for the atrial fibrillation and I wouldn't thin her blood until that was confirmed. That said, I agree she also needs an MRI of her brain and a full neurological workup so I still say take her to the ER
Customer: replied 3 years ago.

what do you mean ER, are you in the uk? do you mean emergency room??

Sorry--yes--emergency room or A&E.
Customer: replied 3 years ago.

Thank you and I am guessing you are not in UK.

No, I'm in the US but my advice would be exactly the same if I were in the UK. Let me know how she does and please remember to rate my service to you
Dr. Chip and 3 other Medical Specialists are ready to help you
Customer: replied 3 years ago.

I will tell you now, 14 hours after being seen by her GP my mother had a huge stroke. I am not happy with her gp prescribing dabigatran prior to doing an ecg. But I wanted to have some idea of the best treatment for her symptoms. I know hind sight is a wonderful thing but her GP left her alone in the house after seeing her.

Thank you for answering my questions.

Sorry to hear that Jude. Let me know how she does.