Nursing management : Hypertension

Nursing management Nursing Assessment Subjective Data Important Health Information Past health history: Known duration and past workup of high BP; cardiovascular, cerebrovascular, renal, or thyroid disease; diabetes mellitus; pituitary disorders; obesity; dyslipidemia; menopause or hormone replacement status Medications: Use of any prescription or over-the-counter, illicit, or herbal drugs or products; previous use of antihypertensive drug Read More

Hypertension in older persons

Hypertension in older persons BP goal for people > 60 is < 150/90 Preferred antihypertensive drugs Thiazide diuretic Calcium channel blockers ACE inhibitors or ARBs Caution use of NSAIDS Hypertensive crisis SBP >180 mmHg and/or DBP >110 mmHg Hypertensive urgency Develops over hours to days May not require hospitalization Hypertensive emergency Very severe problems can Read More

Hypertension : Nursing diagnoses

Nursing diagnoses Ineffective health management related to lack of knowledge of pathology, complications, and management of hypertension Anxiety related to complexity of management regimen Sexual dysfunction related to side effects of antihypertensive medication Risk for decreased cardiac tissue perfusion Risk for ineffective cerebral tissue perfusion Risk for ineffective renal perfusion Potential complication: stroke, MI Planning Read More

Resistant hypertension

Resistant hypertension Failure to reach goal BP in patients taking full doses of an appropriate 3-drug therapy regimen that includes a diuretic. Reasons include Improper BP measurement Drug-induced Nonadherence (e.g., due to drug side effects, finances) Illegal drugs (e.g., cocaine, amphetamines) Inadequate drug dosages Inappropriate combinations of drug therapy Nonsteroidal anti-inflammatory drugs Sympathomimetics (e.g., decongestants, Read More