Hypertension is a term that refers to high blood pressure. It leads to several health problems so that it is important to diagnose it as soon as possible so that one can control the blood pressure and maintain their health. You need to consider that the normal blood pressure is lower than 120/80 mmHg. Then, between 120/80 and 140/90 is called pre-hypertension and above 140/90 is called hypertension. To check whether or not you have hypertension, you should check it with nursing diagnosis for hypertension.
There are several factors that cause the high blood pressure. You better understand them before taking nursing diagnosis for hypertension. First, you should be aware of how much salt and water in your body because it also contributes to the increasing of blood pressure. Furthermore are the condition of kidneys, blood vessels and nervous system also the other factor that affects blood pressure. The last is the levels of your different body hormones that can also influence the blood pressure.
There are no exact symptoms to more easily diagnose hypertension. However, if you feel some of these conditions, you need to immediately take nursing diagnosis for hypertension because these can be the signs of hypertension. They include confusion, fatigue, ear noise or buzzing, irregular heartbeat, headache, vision changes and nosebleed. Be careful with all of those conditions and you can check your blood pressure by yourself first before consulting to your doctor.
- Decreased Cardiac Output
The first nursing care plan for hypertension is decreased cardiac output. It is defined as inadequate blood that is pumped by the heart in order to meet the metabolic demands or human body. The interventions of this first nursing diagnosis for hypertension include monitoring blood pressure, noting dependent or general edema, noting presence and quality of peripheral and central pulses, and observing skin color, temperature, moisture and capillary refill time.
The purposes of this action include not increased afterload, no vasoconstriction occurs, and no myocardial ischemia occurs. The expected outcomes are maintaining the blood pressure in acceptable range, showing stable cardiac frequency and rhythm, and participating in some activities to lower blood pressure.
- Acute Pain
The second nanda nursing diagnosis for hypertension is defined as a pain that people experiences with unpleasant sensory and arising emotion. The interventions include maintaining bed rest with quiet neighborhood and a little lighting, limiting the number of patients, minimizing environmental stimuli and disruption, giving some fun actions, and providing sedative and analgesic drugs.
The purpose of this nursing diagnosis for hypertension is to make sure that the pressure does not increase the cerebral vascular. There are only two expected outcomes of this nursing diagnosis. They are to get rid of headache and to make the patients look comfortable.
- Ineffective Tissue Perfusion
This nursing diagnosis for hypertension includes cerebral, cardiac, renal, related to the impaired body circulation. The interventions include maintaining bed rest with the head position elevated, assessing the blood pressure (in both arms, when sitting and sleeping), measuring the discharge and input, observing sudden hypotension, ambulation within patient’s means, avoiding fatigue, monitoring creatinine and electrolytes and maintaining medication and fluids.
The purpose of this nursing is to make sure that the body to make sure that the body circulation is not impaired. Some expected outcomes of this nursing diagnosis for hypertension include improving tissue perfusion, showing stable vital signs and making urine output 30ml/minute.
- Knowledge Deficit
The last nursing diagnosis for hypertension is knowledge deficit that is associated with the lack of information about the disease and self-care. The interventions include describing the disease nature and the purpose of some hypertension treatments, explaining how theraupetik, peaceful environment and stressors management are important, discussing the needs of maintaining stable weight, low calorie diet, avoiding fatigue, avoiding constipation, and maintaining proper fluid intake.
The main purpose of this nursing is to make the patients understand well some information about hypertension and how to take care of themselves. The outcome of this nursing includes the patients that are able to express their understanding about hypertension and how to have the treatments. Reported use of drugs based on the medical advice is also the other expected outcome of this nursing.
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