HYPERTENSION

 

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.

 

 

NURSING INTERVENTIONS:

 

      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.