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Common nursing diagnosis found in Nursing care plans for Hypertension; Deficient Knowledge, Ineffective Therapeutic Regimen Management, Deficient knowledge (lifestyle modifications), Fatigue, Ineffective coping, Ineffective tissue perfusion: Cardiopulmonary, Noncompliance: Therapeutic regimen, Risk for injury

Key outcomes nursing care plans for Hypertension Patient will:

  • Remain free from complications.
  • Identify appropriate food choices.
  • Express that he has more energy.
  • Maintain adequate cardiac output and hemodynamic stability.
  • Demonstrate adaptive coping behaviors
  • Comply with his therapy regimen.
  • Demonstrates increased knowledge about high blood pressure , medication effects, and prescribed therapeutic activities
  • Takes medications, keeps follow-up appointments

Nursing Interventions nursing care plans for Hypertension

Nursing Interventions nursing care plans for Hypertension with nursing diagnosis; Deficient Knowledge regarding the relationship between the treatment regimen and control of the disease process

Nursing Interventions Providing Basic Education:

  • Explain the meaning of high blood pressure, risk factors, and
  • Explain the influences of high blood pressure on the cardiovascular, cerebral, and renal systems.
  • Stresses that Hypertension can never be total cure, only control, of essential hypertension; emphasize the consequences of uncontrolled hypertension.
  • Stress the fact that there may be no correlation between high blood pressure  and symptoms; the patient cannot tell by the way he feels whether blood pressure  is normal or elevated.
  • Have the patient recognize that hypertension is chronic and requires persistent therapy and periodic evaluation.
  • Present a coordinated and complementary plan of guidance.
    • Inform the patient of the meaning of the various diagnostic and therapeutic activities to minimize anxiety and to obtain cooperation.
    • Solicit the assistance of the patient’s spouse, family, and friends provide information regarding the total treatment plan.
    • Be aware of the dietary plan developed for this particular patient.
  • Explain the pharmacologic control of hypertension.
    • Explain that the drugs used for effective control of elevated blood pressure will likely produce adverse effects.
    • Warn the patient of the possibility that orthostatic hypotension may occur initially with some drug therapy:  Instruct the patient to get up slowly to offset the feeling of dizziness, Encourage the patient to sit or lie down immediately if he feels faint
    • Alert the patient to expect initial effects, such as anorexia, light-headedness, and fatigue, with many medications.
    • Inform the patient that the goal of treatment is to control blood pressure, reduce the possibility of complications, and use the minimum number of drugs with the lowest dosage necessary to accomplish this.
  • Educate the patient to be aware of serious adverse effects and report them immediately so that adjustments can be made in individual pharmacotherapy.
  • Note that dosages are individualized; therefore, they may need to be adjusted because it is often impossible to predict reactions.
  • Warn the patient on vasodilating drugs to use caution in certain circumstances that produce vasodilation a hot bath, hot weather, febrile illness, consumption of alcohol which may exacerbate blood pressure reduction.
  • Warn patients that blood pressure is often decreased when circulating blood volume is reduced as in dehydration, diarrhea, and hemorrhage so blood pressure should be monitored closely and treatment adjusted.

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