8/7/2023 0 Comments Pathological hypertrophy heartPatient will actively engage in activities aimed at reducing blood pressure and cardiac workload, maintain blood pressure within an individually acceptable range, exhibit stable cardiac rhythm and rate within normal limits, and actively participate in stress management activities and a balanced plan of activities and rest to prevent stress.These diagnoses serve as a framework for developing and implementing personalized nursing interventions, aiming to optimize patient care. Formulating nursing diagnoses becomes essential after conducting a thorough assessment to effectively address the patient’s current and potential health concerns related to hypertension. They encompass the identification of current or potential health issues that can be effectively prevented or resolved through independent nursing interventions. Nursing diagnoses provide a standardized method for recognizing, prioritizing, and addressing specific client needs and responses in relation to hypertension, including both actual and high-risk problems. Imbalance between oxygen supply and demand.Increased vascular resistance, vasoconstriction.Reports of stiffness of neck, dizziness, blurred vision, nausea, and vomitingĪssess for factors related to the cause of hypertension:.Reluctance to move head, rubbing head, avoidance of bright lights and noise, wrinkled brow, clenched fists.Verbal reports of throbbing pain located in suboccipital region, present on awakening and disappearing spontaneously after being up and about.Electrocardiogram ( ECG) changes reflecting ischemia dysrhythmias.Abnormal heart rate or BP response to activity.Reported or observed dysfunctional eating patterns.Triceps skinfold more than 15 mm in men and 25 mm in women (maximum for age and sex).Risk factor assessment guides treatment for cardiovascular complicationsĪssess for the following subjective and objective data: Thorough health history, physical examination, retinal assessment, and laboratory tests are crucial for evaluating hypertension and identifying target organ damage. Promoting adherence to therapeutic regimen.Weight reduction and lifestyle & dietary modifications.Prevent complications and death through aggressive hypertension management.The following are the nursing priorities for patients with hypertension: These plans help monitor blood pressure, promote medication adherence, and provide education on lifestyle modifications, ultimately improving patient outcomes. Nursing care management and care plans are essential for patients with hypertension as they provide structured guidance for nurses to assess, plan, implement, and evaluate interventions tailored to the patient’s needs. This can manifest as angina, myocardial infarction, left ventricular hypertrophy, heart failure, kidney dysfunction, nocturia, and cerebrovascular complications such as transient ischemic attacks or strokes. While many individuals with hypertension remain asymptomatic for a long time, the appearance of specific signs and symptoms indicates vascular damage. In severe cases, swelling of the optic disc (papilledema) can be observed. However, retinal changes like hemorrhages, fluid accumulation, and narrowing of blood vessels may occur. Hypertension often presents with no physical abnormalities except for elevated blood pressure. Various factors contribute to hypertension, including increased sympathetic nervous system activity, renal sodium reabsorption, activity of the renin-angiotensin-aldosterone system, impaired vasodilation, insulin resistance, and immune response activation. Hypertension can result from increased cardiac output, increased peripheral resistance, or both. The American College of Cardiology and American Heart Association published new guidelines (as of 2018) and ways to categorize blood pressure.īlood pressure is determined by the interaction of cardiac output and peripheral resistance. Classification of blood pressure for adults. Hypertension is repeatedly elevated blood pressure exceeding 140 over 90 mmHg. It is categorized as primary or essential (approximately 90% of all cases) or secondary due to an identifiable, sometimes correctable pathological condition, such as renal disease or primary aldosteronism. Hypertension is the term used to describe high blood pressure. Promoting Lifestyle and Dietary Modifications and Weight Reduction Improving Coping and Adherence to Therapeutic Regimen Medication Administration and Pharmacologic Support Managing Decrease in Cardiac output and Blood Pressure Monitoring
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