A high blood pressure of 180 is considered a hypertensive emergency and requires immediate medical attention. Hypertension emergencies may lead to cardiovascular and cerebrovascular accidents, such as cerebral hemorrhage, myocardial infarction, etc., which need to be managed through medication control, lifestyle adjustments, and regular monitoring.

1. Seek medical attention immediately. When the blood pressure reaches 180, it may be accompanied by symptoms such as headache, chest tightness, and blurred vision. It is necessary to go to the emergency department of the hospital as soon as possible. Doctors will use intravenous medications such as nitroprusside, urapidil, or labetalol according to the situation to quickly lower blood pressure and avoid organ damage.
2. Drug therapy. Long term control of hypertension requires taking medication according to medical advice. Common medications include calcium channel blockers such as amlodipine, angiotensin-converting enzyme inhibitors such as enalapril, and diuretics such as hydrochlorothiazide. The selection of drugs should be adjusted according to individual circumstances, and the dosage should be periodically reviewed and adjusted.

3. Lifestyle adjustments. Reduce salt intake in diet, no more than 5 grams per day, and increase potassium rich foods such as bananas and spinach. Avoid high-fat and high sugar diets and control weight. In terms of exercise, do 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming. Quit smoking and limit alcohol consumption, maintain emotional stability, and avoid excessive tension.
4. Regular monitoring. Hypertensive patients need to measure their blood pressure daily, record data, and have regular follow-up visits. Bring your own blood pressure monitor at home, choose an upper arm electronic blood pressure monitor, keep quiet during measurement, and sit correctly. The doctor will adjust the treatment plan based on the monitoring results to ensure that blood pressure remains stable within a safe range.
5. psychological adjustment. Long term hypertension may lead to psychological problems such as anxiety and depression, which need to be relieved through psychological counseling, meditation, deep breathing, and other methods. Maintaining a positive attitude and avoiding excessive emotional fluctuations can help control blood pressure. When blood pressure reaches 180, immediate medical attention should be sought through medication, lifestyle adjustments, and regular monitoring for comprehensive management. Hypertension emergencies cannot be ignored, timely treatment can avoid serious complications. Long term adherence to a healthy lifestyle and cooperation with medical treatment can effectively control blood pressure and reduce the risk of cardiovascular and cerebrovascular diseases.

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