الأحد، 26 أغسطس 2018

157-Hypertension

About
High blood pressure of systolic greater than or equal 135 mm hg and/ or diastolic greater than or equal to 85 mm hg.
Assess
BP > or = 135 systolic or 85 diastolic; genetic history, dietary intake, alcohol consumption, smoker, hx. Of cardiovascular disease, headaches, dizziness, syncope events,
Complications
Stroke, arteriosclerosis, atherosclerosis, myocardial infarction, heart failure
Diagnosis
  • Ineffective health maintenance related to deficient disease and medicine knowledge
  • Risk for ineffective therapeutic regimen management related to possible noncompliance with treatment
Goals
  • The clients blood pressure will be within normal ranges.
  • The client will be able to state treatment modalities.
Interventions
  • Monitor vital signs, triglycerides, cholesterol levels
  • Administer antihypertensives as ordered.
  • Teach client non-pharmacological treatments including low sodium, low fat, low cholesterol diet, exercise, weight reduction, smoking cessation, avoiding alcohol, decreased stress.
  • Teach client about medications including rationale, side effects, dosing schedule.
  • Teach client how to monitor blood pressure and when to seek follow-up treatment.
  • Teach client about hypertension and its effects on other body areas.
  • Monitor for signs/ symptoms of complications.

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