Topics: Blood pressure, Hypertension, Orthostatic hypotension Pages: 3 (494 words) Published: November 3, 2011
Hypertension is the term used to describe high blood pressure.

Blood pressure is a measurement of the force against the walls of your arteries as the heart pumps blood through the body.

Blood pressure readings are measured in millimeters of mercury (mmHg) and usually given as two numbers -- for example, 120 over 80 (written as 120/80 mmHg). One or both of these numbers can be too high.

The top number is your systolic pressure.
It is considered high if it is over 140 most of the time. •It is considered normal if it is below 120 most of the time.

The bottom number is your diastolic pressure.
It is considered high if it is over 90 most of the time. •It is considered normal if it is below 80 most of the time. nlm.nih.gov

Nursing Diagnosis for Hypertension

Decreased Cardiac Output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy

Nursing Intervention for Hypertension
Monitor blood pressure
Note the central and peripheral pulse quality
Auscultation of heart and breath sounds
Observe skin color, moisture, temperature and capillary filling time •Observe the general edema
Provide quiet environment, comfortable
Suggest to reduce activity.
Maintain restrictions on activities such as recess ditemapt bed / chair •Help perform self-care activities as needed
Perform actions such as a comfortable back and neck massage •Encourage relaxation techniques
Give fluid restriction and sodium diet as indicated.

Nursing Diagnosis for Hypertension

Risk for Ineffective Tissue perfusion: Peripheral, Renal, Gastrointestinal, Cardiopulmonary related to impaired circulation

Nursing Intervention for Hypertension
Maintain bed rest, elevate head of bed
Assess blood pressure at admission in both arms, sleeping, sitting with arterial pressure monitoring if available •Maintain fluid and drugs.
Observe the sudden hypotension.
Measure inputs and expenditures
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