You’re going to collect all information. There is primary and secondary HTN. But also the best part about this step is the ability to actually start linking your data with your priorities, with your interventions, your rationales for those interventions and your expected outcomes. Blood pressure is essentially the amount of blood the heart pumps, as well as the resistance to blood flow in the actual arteries. Teaching Plan Hypertension - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read online for free. So maybe we just say our third priority for this patient is patient education. •Teach to take own blood pressure daily and record it, bringing Well, early detection means early treatment. Or we could actually see them start to develop heart failure. How to Start an IV? You’re going to have all of these things as well. Implement dietary sodium, fat, and cholesterol restrictions as indicated. So maybe the patient verbalizes three changes they’re gonna make or maybe the patient quit smoking. Um, and then also one of the big things here is remember this risk that they have for all these complications. So I’m going to assess that blood pressure and monitor it, right? These are given intravenously for management of hypertensive emergencies. And maybe the patient has chest pain, especially if their blood pressure’s really high. Until they develop issues with perfusion to their organs. Note presence, quality of central and peripheral pulses. When hypertension is due to pheochromocytoma, removal of the. Patient will maintain BP within individually acceptable range. Now again, remember we’re looking at a hypothetical patient and we’re assuming that their isolated problem is hypertension. Then you’re gonna ask your how questions, how did I know it was a problem? A maybe a severe headache could tell me that they have some sort of hypertensive crisis, right? HTN is called the silent killer because it can begin to cause problems without any symptoms. Use whatever form you prefer. Also, the writing of questions sets up a perfect stage for exam-studying later. So perfusion, how did I know there was a perfusion issue? Lessens physical stress and tension that affect blood pressure and the course of hypertension. If you are caring for a hypertensive patient, you need to be thorough in planning your care. Control blood pressure down to a safe level appropriately. Okay? A nurse is planning care for a hypertensive client. Get your concise terms, whether it’s concepts needed, a nursing diagnoses, whatever you need. Monitor and record BP. Use correct cuff size and accurate technique. Maybe we would say they didn’t develop any complications, right? **, That Time I Dropped Out of Nursing School. So one of the biggest things we might see in terms of relevant symptoms in a hypertensive patient is signs of complications. So what was my subjective and objective data that would tell me maybe that they’re developing problems, maybe signs and symptoms of a stroke. nursing, care plans, free examples nursing care plans sample, nursing diagnosis, nursing intervention, history of nursing, nursing informatics, Wednesday, February 11, 2009. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Again, hypothetical patient with an isolated problem of hypertension, how we pick out the data, how we decide what to do about it, and how we decide whether or not that thing would work. The following are the common related factors for the nursing diagnosis decreased cardiac output secondary to hypertension: Below are the common expected outcomes for decreased cardiac output secondary to hypertension: Here are the nursing assessment and interventions for this nursing diagnosis for hypertension. These restrictions can help manage fluid retention and, with associated hypertensive response, decrease myocardial workload. A client is newly diagnosed with hypertension. Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School. Um, remember anytime you put an intervention about medications, things like that, make sure you write as ordered as prescribed. Response to drug therapy (usually consisting of several drugs, including. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Now go out and be your best self today. So in other words, what’s wrong? PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes. •Verbalize understanding of the effects of prescribed drug, di-etary restrictions, exercise, and follow-up visits to help control hypertension. For more information, visit www.nursing.com/cornell. The use of an additional sympathetic inhibitor may be required for its cumulative effect when other measures have failed to control BP or when. Primary HTN can be caused by many different factors. That’s some data we could’ve collected as well. The nurse notes an order for the DASH diet for a client with hypertension. Because again, remember hypertensive patients tend to be relatively asymptomatic until they develop complications. So then this is when we come and we look at all these things and you go, well, how will I know if those problems that I came up with are any better? So really any signs and symptoms of these things could indicate problems with hypertension. Limit the number of visitors and length of stay. Here at NRSNG we prefer to use nursing concepts because we think they really give you the big picture priorities instead of forcing you to drill down to the super specific issue. Hypertension is defined as a medical condition in which the blood pressure in the arteries is elevated. With your hypertensive patients, a lot of times they’re asymptomatic unless they’ve developed complications. Makes Sense. So what are my interventions? So I’m gonna Plan my implementation, plan, my interventions, and then figure out how to evaluate them. After seeing the medication, you can have a much better understanding to make a good teaching plan for hypertension patients. What’s important, what’s relevant, what tells me there’s a problem and what are my biggest priorities I need to focus on? So things that could be improved, maybe they’ve got diet and lifestyle changes that could be improved, could be changed, maybe they’re a smoker. symptoms, therefore the listed symptoms are not the typical presentation. Intracranial hypertension monitoring and nursing assessment. Patient will demonstrate stable cardiac rhythm and rate within patient’s normal range. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Making small changes in diet to decrease the risk of hypertension Introduction. And again, remember you’re going to have a lot of information. If there is more blood and/or smaller arteries, naturally the pressure will be higher. Keep in mind, higher blood pressure for a short period of time is normal. It is categorized as primary or essential (approximately 90% of all cases) or secondary, which occurs as a result of an identifiable, sometimes correctable pathological condition, such as renal disease or primary aldosteronism. So how did I know it was a problem? And then translate it. What about the third one we talked about their diet and lifestyle changes, right? ), street drugs (cocaine, methamphetamines), tobacco and excessive alcohol use, and more, can all cause secondary HTN. The increased pressure causes damage to the vessels, creating further problems, and putting the person at risk for serious diseases such as heart attacks or strokes. Make sure you check out all the rest of the examples that we have in this course. Elevated: Systolic between 120-129 and diastolic less than 80; Stage 1: Systolic between 130-139 and diastolic 80-89. This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. Well, I need to monitor blood pressure so that I can know where I’m at. Hypertension is repeatedly elevated blood pressure exceeding 140 over 90 mmHg. 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