High blood pressure, increased systemic pressure, sustained elevation of arterial blood pressure above the normal upper limit of 140/90 mm Hg or 20 points above that considered for one's age.
¨ Give psychological support to the patient and his/her family to get confidence and cooperation for better further recovering.
¨ Monitor vital signs: Blood pressure, temperature, pulse, and respirations as ordered.
¨ Assess and record daily weight.
¨ Assess for peripheral edema (lower extremities, sacral area, periorbital)
¨ Administer medications prescribed by the doctor on time: Antihypertensive drugs, diuretics, sedatives, and others as ordered.
¨ Monitor for side effects of medications.
¨ Maintain physical and emotional rest.
¨ Maintain fluid and sodium restrictions to reduce fluid retention which contributes to hypertension.
¨ Teach relaxation techniques to combat stress which can influence psychological responses that aggraviate hypertension.
¨ Assist in establishing medication routine.
¨ Encourage potasium risk factors (fruit juices, bananas) as appropriate ,most diuretics are potasium waisting.
¨ Discourage intake of coffee, tea, colas, and chocolates that are high in coffeine.
¨ Encourage role of physical exercises in weight reduction.
¨ Instruct patient/family to check own blood pressure to provide patient with sense of control and ability to seek prompt medical attention.
¨ Inform patient/family about nature of diseases and its effects on target organs (renal damage, visual impairment, heart failure, strokes)
¨ Inform patient/family about risk factors: Obesity, diet high in saturated fats and cholesterol, smoking, stress, race (more common in blacks), family history.
¨ Give sanitary education to the patient and his/her family in relation with his/her disease to avoid further complications.