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It seems that her current blood pressure therapy is not adequate to control her all day long. Some of those reading, especially the 203/103 are way too high.</pCustomer: RickMD :
I do not think this is going to be OK on its own and I suggest that she take her medicines as directed and see her doctor in the morning. I would be very helpful if you could write down what you have posted here, along with any other BP readings you take, and share these data with her doctor.
It is hard to tell without examining her if you should just go to the ER tonight. That decision is really one the two of you are going to have to make, although it never hurts to get care sooner rather then later just in case her BP goes real high again tonight.
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