My husband just took his blood pressure at home.  It was sorta high (dont know the number), but then he took it again and said it was 187/90.  Hes headed out to the VA but of course, it will be long time before they yet to him.  He also has nasious stomache, but that could be attributed to his hernia.  (forgive the spelling).  Should we be overly concerned?  Im at work, about 60 miles away.
Your patient is having exceptionally high bp which needs to be a ChatDoctor.