Wednesday, January 21, 2009

Hypertension Nursing Care Plan

Hypertension Description is a persistent or intermittent elevation of systolic arterial blood pressure above 140 mm Hg or diastolic pressure above 90 mm Hg. Hypertension is a chronic disease, primary goals in Hypertension Nursing Care Plan is to reduce the blood pressure to less than 140/90.

Hypertension classified:
Primary (essential) accounts for over 90% of cases and is often referred to as idiopathic, since the underlying cause is not known.
Secondary hypertension results from a number of conditions that impair blood pressure regulation, and accounts for only 5% to 8% of all cases of hypertension
Malignant hypertension, results from either type and can cause blood pressures as high as 240/150 mm Hg

Cause of hypertension:
Cause of primary hypertension is not known. However, associated with risk factors such as genetic predisposition, stress, obesity, and a high-sodium diet.
Secondary hypertension results from disorders that impair blood pressure regulation, particularly renal, endocrine, vascular, and neurological disorders, hypertensive disease of pregnancy (toxemia) and use of estrogen-containing oral contraceptive
Malignant hypertension is also not known, but it may be associated with dilation of cerebral arteries and generalized arteriolar fibrinoid necrosis, which increases intracerebral blood flow.
Ethnic/Racial African Americans and elderly people are most prone to hypertension and its complications.

Physical Examination Hypertension Nursing Care Plan:
  • Appear symptom-free in early stages, although flushing of the face may be present
  • Fundoscopic examination of the retina may reveal hemorrhage
  • Measure blood pressure in both arms three times 3 to 5 minutes apart. patient is at rest in the sitting, standing, and lying positions. Hypertension should not be diagnosed on the basis of one reading unless it is greater than 210/120 mm Hg.

Diagnostic Highlights Hypertension Nursing Care Plan
  • Blood urea nitrogen
  • Serum creatinine
  • Total cholesterol
  • Triglycerides
  • Electrocardiogram
Primary Diagnosis Hypertension Nursing Care Plan:
Knowledge deficit related to chronic disease management

Interventions Hypertension Nursing Care Plan:
Health education; Teaching: Diet, Disease process, Health behaviors.
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