Hypertension

Hypertension

Category / Primary Body System

• Cardiovascular System

Problem

• Patient is at risk for complications due to hypertension.

Goal

• Patient will be free from hypertension-related complications (i.e., CVA) for 90 days.

Plan/Approach

1. Blood Pressure Monitoring

   • Check blood pressure as ordered to monitor and manage hypertension effectively.

2. Medication Management

   • Administer medications as ordered to maintain blood pressure within the target range.

3. Laboratory Tests

   • Check labs as ordered to monitor kidney function, electrolyte balance, and overall health status.

4. Dietary Management

   • Provide diet as ordered and arrange dietary consults as needed to support a heart-healthy diet.

5. Pain Monitoring

   • Verify with MD/RNP for any chest, left arm, shoulder, or back pain to promptly address potential cardiac issues.

6. Weight Monitoring

   • Monitor weight weekly to detect fluid retention or weight gain that might indicate worsening hypertension.

7. Diet Adherence Encouragement

   • Encourage adherence to the prescribed diet to support blood pressure control and overall cardiovascular health.

Rationale

1. Blood Pressure Monitoring

   • Regular monitoring helps detect changes in blood pressure early, allowing for timely intervention.

2. Medication Management

   • Proper medication adherence helps control blood pressure and reduce the risk of complications.

3. Laboratory Tests

   • Lab tests provide essential information about the patient’s overall health and the effectiveness of the treatment plan.

4. Dietary Management

   • A heart-healthy diet can significantly impact blood pressure management and overall cardiovascular health.

5. Pain Monitoring

   • Early detection and management of chest or related pain can prevent serious complications such as myocardial infarction.

6. Weight Monitoring

   • Monitoring weight helps detect signs of fluid retention, which can indicate worsening hypertension or heart failure.

7. Diet Adherence Encouragement

   • Adhering to a prescribed diet is crucial for managing hypertension and preventing complications.

Actions

1. Blood Pressure Monitoring

   • Check and record blood pressure as per the prescribed schedule and report significant changes to the healthcare team.

2. Medication Management

   • Administer prescribed medications and monitor for effectiveness and side effects.

3. Laboratory Tests

   • Conduct and monitor lab tests as ordered, reporting results to the attending physician.

4. Dietary Management

   • Provide meals and snacks according to the prescribed diet and arrange for dietary consults as needed.
   • Educate the patient on the importance of adhering to a heart-healthy diet.

5. Pain Monitoring

   • Verify and document any reports of chest, left arm, shoulder, or back pain and notify MD/RNP immediately.

6. Weight Monitoring

   • Weigh the patient weekly, document the weight, and report significant changes to the healthcare team.

7. Diet Adherence Encouragement

   • Encourage the patient to adhere to the prescribed diet through education and support.