Nursing Care Plan For Hypertension || Nursing Care Plan On Hypertension

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Hypertension, what you need to know

In the medical world, hypertension is known as the silent killer because it has no symptoms until it has caused significant damage. In fact, according to the American Heart Association, more than half of all cases of hypertension go undetected before signs such as heart attack or stroke occur. If you have been prescribed medication for hypertension, here are three things you need to know about this condition and its treatment that will help you manage your condition better.

Background

Hypertension, also known as high blood pressure (HBP), is a condition in which an individual has systolic or diastolic pressure that is consistently over 140/90 mm Hg. Systolic pressure measures blood pressure when your heart beats; diastolic measures it between beats. Normal BP ranges from 90/60 to 120/80 mm Hg.

Assessment and Diagnosis

Hypertension is typically diagnosed through a blood pressure reading. There are a number of machines used to perform such measurements, but at its most basic level, it involves squeezing your upper arm as tightly as possible and waiting for your pulse (or heart rate) to slow down.

The greater the difference between those two numbers—your pulse and your blood pressure—the higher your blood pressure is said to be. Hypertension requires professional diagnosis because high blood pressure symptoms can easily be misinterpreted as something else entirely.

Nursing Diagnosis

Fluid Volume Deficit. Risk for Ineffective Tissue Perfusion. Risk for Delayed Healing. Read more about nursing diagnosis here. RN Nursing Career Articles provide resources of general interest to registered nurses throughout their careers and specialties.

While these symptoms may seem unrelated, each contributes in its own way to a person’s overall well-being. For example, not having enough fluid can cause swelling and lead to other health problems such as high blood pressure. In addition, patients with hypertension are at risk for heart disease and stroke.

Planning

The first step in managing your hypertension is planning. Hypertension is managed by a careful balance of medication and lifestyle changes. Hypertension can be controlled but cannot be cured.

This means that it’s important to understand your condition well enough to manage it properly. An important part of planning is establishing good medical records with frequent monitoring of blood pressure and vital signs such as pulse rate and temperature.

Implementing The Plan

Hypertension is a disease that has been around for a long time. Hypertension is when someone has high blood pressure. Hypertension or High Blood Pressure must be controlled.

Hypertensive Emergency: This is a condition where there is severe hypertension and some evidence of end-organ damage and/or inadequate treatment of hypertension. The only way to treat it is with intravenous medications like Nitroprusside, labetalol, or nicardipine.

Evaluation

patient states he is having difficulty with vision and shortness of breath. Fingertip blood pressure: 90/60.

The patient’s physical exam reveals no abnormalities except for his blood pressure reading;

it is systolic 90 mmHg and diastolic 60 mmHg. The nurse records a treatment plan on an appropriate charting form (e.g.

Nursing Care Plan For Hypertension

Nursing Diagnosis	Patient Goals	Intervention: Rationale	Implementation (Yes or NO)	Evaluation Outcome
Risk for impaired cardiovascular function r/t impaired profusion AEB continual hypertensive readings Risk for ineffective peripheral tissue perfusion r/t impaired circulation AEB consecutive high blood pressure readings Knowledge deficit r/t ineffective healthy management AEB hypertension	Monitor BP and show how to take a Proper BP, Record it, and interpret it Make dietary changes to help manage blood pressure Take all prescribed medications as they are prescribed	Education patient on the proper way to take a BP and demonstrate the skill back to confirm talk about the readings and meanings Educate the patient on dietary restrictions and changes that are helpful to manage HTN teach the patient to record a food diary and to watch all intake. Educate the patient on the Importance of medication compliance ad to have them use a dispenser with days of the week on it.	Yes Yes Yes	During check-up get patients readings and ask the patient how they feel they have been doing with monitoring their BP During checkup ask the patients for their food log and assess for improvement in BP During checkup they should have BPs wnl and know what meds they take when they take them