Hypertension Concept Map PDF

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Summary

Rasmussen Professional Nursing 2...

Description

Lori FultonRasmussen HTN Concept Plan 08/26/19 Clinical Manifestations

Possible Medications Diuretics “ide”

Subjective: States he has had four dizzy spells

Beta-blockers “olol”

and has awakened with a headache in the

ACE inhibitors “Pril”

occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the

Angiotensin II receptor blockers “tan” Calcium channel blockers “Ine” Alpha blockers (Cardura, Minipress, Hytrin) Alpha-2 Receptor Agonists (Methyldopa)

Pathophysiology -Persistent elevation of blood pressure exceeding 140 over 90 mmHg.

evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4

Stage 2 HTN: SBP ≥ 160 OR DBP ≥ 100

mornings a week but quit when he started weeks. He is not taking any medication. T.J. states he is concerned about having h

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low density lipoprotein cholesterol, triglycerides) after 9 to 12 hour fast Fasting blood glucose or Hemoglobin A1c

Nursing Interventions

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Hypertensi on Patient Data/Risk Factors Increased vascular resistance, vasoconstriction Myocardial ischemia Ventricular hypertrophy/rigidity

Diagnostic Data 12 lead electrocardiogram Complete blood count Basic metabolic profile (serum sodium, potassium, creatinine with estimated/measured glomerular filtration rate, calcium) Lipid profile (total cholesterol, high density lipoprotein cholesterol,

Risk for Decreased Cardiac Output Activity Intolerance Acute Pain Ineffective Coping Imbalanced Nutrition: More Than Body Requirements Deficient Knowledge

clerking. He has had nocturia for the last 3

Pre-HTN: SBP 120-139 OR DBP 80-89 Stage 1 HTN: SBP 140-159 OR DBP 90-99

Possible Nursing Diagnosis

Fluid restriction (if clinically appropriate) Monitor BP Review readings from the home blood pressure monitoring journal with the patient. Perform a comprehensive cardiopulmonary assessment: Heart sounds, Lung sounds, Pulses, Edema

Patient Education

Medical Interventions Determine and discuss any modifiable risk factors that can worsen hypertension Initiate blood pressure medication Order routine follow-up lab studies to determine effect of therapy or when there are symptoms or complaints of any problems Determine medication adherence

Educate about disease process, treatment regimen, dietary changes (i.e. dash diet, exercise, smoking cessation, annual checkups, self BP monitoring, Avoid alcohol, reduce sodium) Promote stress reducing strategies (i.e. yoga, meditation, deep breathing exercises) Discuss any side effects/symptoms from the medications. Discuss any problems with adhering to the medications and/or lifestyle modifications.

Lori FultonRasmussen HTN Concept Plan 08/26/19 References High blood pressure (hypertension). (2018, May 12). Retrieved from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410 Felman, A. (2019, July 22). Hypertension: Causes, symptoms, and treatments. Retrieved from https://www.medicalnewstoday.com/articles/150109.php Rebar, C., Ignatavicius, D., Workman, M. L. Medical-Surgical Nursing. [Bookshelf Ambassadored]. Retrieved from https:// ambassadored.vitalsource.com/#/books/...