KC hypertension - template PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Keisha Collins ST UDENT NAME _____________________________________ Hypertension DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) persistent elevation of BP exceeding 140 over 90 mmHG

3 REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem the force of your blood pushing against the walls of your blood vessels, is consistently too high

Health Promotion and Disease Prevention -maintain body mass index of less than 30 -clients who have diabetes mellitus should keep blood glucose within a recommended reference range limit caffeine and alcohol intake

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings -headaches, particulary in the morning -facial flushing -dizziness -fainting

-positive family history -excessive sodium intake -obesity -physical inactivity Laboratory Tests

Diagnostic Procedures

-BUN, creatinine -elevated blood corticoids -blood glucose and cholesterol studies

-ECG -chest x-ray -echocardogram

PATIENT-CENTERED CARE

Nursing Care -discuss w/the client factors that increase the risk HTN and how the client can manage them - monitor blood pressure and pulse, and change the client's position slowly

Therapeutic Procedures -relaxation techniques, comfort measures and distractions -maintaining activity restrictions and a calm environment

ACTIVE LEARNING TEMPLATES

-fall risk -follow a low sodium diet -eat a healthy diet -reduce alcohol -eat more fiber/fish -exercise

Complications Medications Thiazide diuretics (hydrochlorothia zide), loop diuretics (furosemide, potassium-spari ng diuretics), calcium-channel blockers (verapamil, amlodipine and diltiazem)

Client Education -changes position slowly -careful when getting out of bed, driving, and climbing stairs -monitor potassium levels and watch for muscle weakness, irregular pulse and dehydration

Interprofessional Care -nutritional services -Physical therapy

-hypertensive crisis -heart attack or stroke -Heart failure -thickened, narrowed or torn blood vessels in the eyes -weakened and narrowed blood vessels in your kidneys -dementia...