Hypertension Concept Map PDF

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Rasmussen NPR Concept Plan Possible Medications Beta blocker (atenolol [Tenormin], metoprolol [Lopressor]), ACE inhibitor (lisinopril, enalapril, captopril), calcium channel blocker (verapamil [Calan], amlodipine [Norvasc], diltiazem [Cardizem]), renin inhibitor, diuretic (spironolactone [Aldactone], furosemide [Lasix], bumetanide [Bumex], hydrochlorothiazide [Microzide]), ARBs (valsartan, losartan)

Pathophysiology Chronic elevation of BP that long term causes organ damage and results in morbidity and mortality

Clinical Manifestations Subjective: four dizzy spells, headache for 2 days, alcohol beverages, stress from school & work, eating fast food, nocturia for 3 days

Possible Nursing Diagnosis Imbalanced nutrition Ineffective self-health management

Objective: temp 98.6 F, pulse rate 78 BPM, RR 16, BP 142/92, weight 190 lbs, no edema in hands, feet, or legs

Medical Diagnosis

Nursing Interventions

Hypertension

Assess vital signs regularly, monitor BP daily, lab values regularly (monthly), assess lifestyle changes regularly (q visit), educate pt on diet and lifestyle changes, educate pt on hypertension

Patient Data/Risk Factors Weight, stress, race (African-American), alcohol intake, diet, high blood pressure

Medical Interventions Diagnostic Data Normal BP 120/80: Stage 1 HTN systolic 140-159 & diastolic range 90-99; Stage 2 HTN systolic 160+ & diastolic 100+; Prehypertension systolic 120-139 & diastolic 80-89……Kidney disease can be diagnosed by the presence of protein and red

Exercise regularly, healthy diet, decrease sodium intake, healthy weight loss, limit alcohol intake …possible need for medications

Patient Education Limit alcohol intake Exercise regularly Weight loss...