High Blood Pressure Case Study
#3
#3
Reason for admission:
High blood pressure
STUDENT: Jeannette Sutton PATIENT INITIALS: HPT ROOM #_____
Nursing Diagnosis:
Risk for imbalanced fluid volume r/t decreased sodium level AEB patient taking hydrochlorothiazide.
Supporting data:
Thiazide drugs promote excretion of Na, CL, K and water.
First time pt will be taking this drug.
STG: Pt will maintain sodium levels of 135-145 by 1700hrs after taking initial dose this morning.
Interventions:
1. Administer medication as prescribed in the morning.
RATIONAL: medication is going to increase output which may cause the depletion of electrolytes. We will be able to see the change in Na by 1700hrs.
2. Monitor strict in & out put of fluids.
RATIONAL: to prevent …show more content…
RATIONAL: Eating the right foods will help the medication regime and disease process.
#2
Nursing Diagnosis:
Knowledge deficit r/ disease process AEB pt newly diagnosed with high blood pressure and states not knowing how to modify lifestyle.
Supporting data:
Pt diagnosed with high blood pressure.
Pt stating doesn’t know how to modify lifestyle.
STG: Pt will verbalize 3things that will help him manage disease process by 1700hrs today.
Interventions:
1. Teach pt nutritional goals ie low in fat and cholesterol, low in salt; importance of exercise, and smoking cessation.
RATIONAL: decrease risk of CHD
2. Instruct patient to take medication at the same time each day and not to stop taking it.
RATIONAL: To prevent rebound hypertension.
3. Monitor and teach daily weigh ins.
RATIONAL: A wt gain of 2lbs or more in one day can be an indicator of fluid retention and must be addressed to physician.
4. Assess blood pressure and teach patient how to adequately take weekly blood pressure.
RATIONAL: Ensure medication is doing its job and another drug is not needed and to monitor BP levels. Good indicator if pt must contact physician.
Evaluation:
Nursing
#3
Reason for admission:
High blood pressure
STUDENT: Jeannette Sutton PATIENT INITIALS: HPT ROOM #_____
Nursing Diagnosis:
Risk for imbalanced fluid volume r/t decreased sodium level AEB patient taking hydrochlorothiazide.
Supporting data:
Thiazide drugs promote excretion of Na, CL, K and water.
First time pt will be taking this drug.
STG: Pt will maintain sodium levels of 135-145 by 1700hrs after taking initial dose this morning.
Interventions:
1. Administer medication as prescribed in the morning.
RATIONAL: medication is going to increase output which may cause the depletion of electrolytes. We will be able to see the change in Na by 1700hrs.
2. Monitor strict in & out put of fluids.
RATIONAL: to prevent …show more content…
RATIONAL: Eating the right foods will help the medication regime and disease process.
#2
Nursing Diagnosis:
Knowledge deficit r/ disease process AEB pt newly diagnosed with high blood pressure and states not knowing how to modify lifestyle.
Supporting data:
Pt diagnosed with high blood pressure.
Pt stating doesn’t know how to modify lifestyle.
STG: Pt will verbalize 3things that will help him manage disease process by 1700hrs today.
Interventions:
1. Teach pt nutritional goals ie low in fat and cholesterol, low in salt; importance of exercise, and smoking cessation.
RATIONAL: decrease risk of CHD
2. Instruct patient to take medication at the same time each day and not to stop taking it.
RATIONAL: To prevent rebound hypertension.
3. Monitor and teach daily weigh ins.
RATIONAL: A wt gain of 2lbs or more in one day can be an indicator of fluid retention and must be addressed to physician.
4. Assess blood pressure and teach patient how to adequately take weekly blood pressure.
RATIONAL: Ensure medication is doing its job and another drug is not needed and to monitor BP levels. Good indicator if pt must contact physician.
Evaluation:
Nursing