Nursing Diagnosis for Hypertension - Nursing Care Plan for Hypertension1. Risk for decreased cardiac output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy.
Purpose: afterload is non increased, at that topographic point was no vasoconstriction, together with myocardial ischemia does non occur.
Expected outcomes:
- Maintaining blood pressure level inside an acceptable range.
- Showed stable cardiac beat together with frequency.
- Participate inwards activities that lower blood pressure.
- Monitor together with stair out blood pressure level inwards both hands, using a cuff together with proper techniques inwards price of standard blood pressure.
- Auscultation of breath sounds together with midpoint tone. Observe pare color, moisture, temperature together with capillary refill time.
- Note the presence, character of the key together with peripheral pulses.
- Maintain restrictions on activities such every bit residuum inwards bed or chair.
- Assist inwards performing self-care activities every bit needed.
- Provide a serenity environment, convenient, together with therapeutic together with cut back activity. Note the full general edema.
- Monitor reply to medication to command blood pressure. Give fluid together with dietary sodium restriction every bit indicated.
- Medical collaboration inwards the provision of drugs every bit indicated.
2. Acute pain: headache related to increased cerebral vascular pressure.
Purpose: The pressure level does non increment cerebral vascular
Expected Outcomes: Patients revealed the absence of headache together with looked comfortable.
Nursing interventions:
- Maintain bed rest, serenity neighborhood, a piddling light.
- Limit of patients inwards the activity.
- Minimize disruption together with environmental stimuli.
- Give a fun activeness according to indications such every bit H2O ice packs, the seat of comfort, relaxation techniques, counseling imagination, avoid constipation.
- Medical collaboration inwards providing analgesic together with sedative drugs.
Purpose: The circulation of the trunk is non impaired.
Expected outcomes :
- Patients demonstrating an improved tissue perfusion every bit indicated by: blood pressure level inside acceptable limits, no complaints of headache, dizziness, laboratory values within normal limits.
- Stable vital signs.
- Urine output xxx ml / min.
- Maintain bed rest, lift the caput seat inwards bed patients.
- Assess blood pressure level at admission inwards both arms, sleeping, sitting amongst arterial pressure level monitoring if it is available.
- Measure the input together with discharge.
- Observe the abrupt hypotension.
- Ambulation inside your agency together with avoid fatigue inwards patients.
- Monitor electrolytes, creatinine according to medical advice.
- Maintain fluids together with medications according to medical advice.
Purpose : patients are met inwards price of data well-nigh hypertension.
Expected outcomes :
- Patients tin limited their cognition together with skills of the direction of early on handling of hypertension.
- Reported the exercise of drugs according to medical advice.
- Describe the nature of the illness together with the exercise of the physical care for together with the handling of hypertension.
- Explain the importance of a peaceful surround together with theraupetik, together with direction of stressors.
- Discuss the importance of maintaining a stable weight.
- Discuss the require for low-calorie diet, depression inwards sodium to order.
- Discuss the importance of avoiding fatigue inwards the activity.
- Explain the require to avoid constipation inwards the bowel movement.
- Explain penetingnya keep proper fluid intake, total allowed, restrictions such every bit caffeinated coffee, tea together with alcohol.
- Discuss the symptoms of relapse or progression of complications reported to the doctor: headache, dizziness, fainting, nausea together with vomiting.
- Talk well-nigh drugs: the name, dosage, fourth dimension of administration, exercise together with side effects or toxic effects.
- Explain the require to avoid drug-free, without a doctor's examination.
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