NUR 2571 Module 04 Concept Map-Hypertension

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Professional Nursing 2 (Rasmussen University)
Hypertension Concept Map

Possible Medications

Diuretics “ide”

Beta-blockers “olol”

ACE inhibitors “Pril”

Angiotensin II receptor blockers

“tan”

Calcium channel blockers “Ine”

Alpha blockers (Cardura, Minipress, Hytrin)

Alpha-2 Receptor Agonists

Pathophysiology

-Persistent elevation of blood pressure exceeding 140 over 90 mmHg.

Pre-HTN: SBP 120-139 OR DBP 80-89

Stage 1 HTN: SBP 140-159 OR DBP 90-99

Stage 2 HTN: SBP ≥ 160 OR DBP ≥ 100

Diagnostic Data

12 lead electrocardiogram

Complete blood count

Basic metabolic profile (serum sodium, potassium, creatinine with estimated/measured

glomerular filtration rate, calcium) Lipid profile (total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglycerides) after 9 to 12 hour fast

Clinical Manifestations

Subjective: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content.

T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having

Possible Nursing Diagnosis

Fasting blood glucose or Hemoglobin A1c

Risk for Decreased Cardiac Output

Activity Intolerance

Acute Pain

Ineffective Coping

Imbalanced Nutrition: More Than Body Requirements Deficient Knowledge

Nursing Interventions

Fluid restriction (if clinically appropriate)

Monitor BP

Review readings from the home blood pressure monitoring journal with the patient. Perform a comprehensive cardiopulmonary assessment: Heart sounds, Lung sounds, Pulses, Edema

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Con
Hypeorntensi Patient Data/Risk Factors

Increased vascular resistance, vasoconstriction

Myocardial ischemia Ventricular hypertrophy/rigidity

HTN Concept Plan

e risk factors that can worsen hypertension

Initiate blood pressure medication

Medical Interventions

Order routine follow-up lab studies to determine effect of therapy or when there are symptoms or complaints of any problems

Patient Education

Educate about disease process, treatment regimen, dietary changes (i.e. dash diet, exercise, smoking cessation, annual checkups, self BP monitoring, Avoid alcohol, reduce sodium)

Promote stress reducing strategies (i.e. yoga, meditation, deep breathing exercises)

Discuss any side effects/symptoms from the medications.

Discuss any problems with adhering to the medications and/or lifestyle modifications.

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D e t e r m i n e a n d d i s c u s s a n y m o d i f i a b l

References

High blood pressure (hypertension). (2018, May 12). Retrieved from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410

Felman, A. (2019, July 22). Hypertension: Causes, symptoms, and treatments. Retrieved from https://www.medicalnewstoday.com/articles/150109.php

Rebar, C., Ignatavicius, D., Workman, M. L. Medical-Surgical Nursing. [Bookshelf

Ambassadored]. Retrieved from https:// ambassadored.vitalsource.com/#/books/

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HTN Concept Plan

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