Hypertension/Hypotension

Care Plan for Hypertension/Hypotension

Category / Primary Body System:

Cardiovascular System

Problem:

Resident has potential for hypotension/hypertension crisis related to blood pressure fluctuations.

Goal:

Resident will not have any adverse effects from blood pressure medication for the next 90 days.

Plan/Approach:

1. Blood Pressure Monitoring:

   • Step-by-Step Approach: Measure blood pressure as per protocol or physician’s order.
   • Monitoring Strategies: Use automated blood pressure monitors for accuracy and consistency.

2. Monitoring for Symptoms:

   • Step-by-Step Approach: Monitor for alterations in blood pressure, including changes in mental status, headache, dizziness, or falls.
   • Educational Efforts: Educate the resident and family about recognizing symptoms of blood pressure changes.

3. Medication Administration:

   • Step-by-Step Approach: Administer blood pressure medications as ordered.
   • Technological Aids: Use medication administration records (MAR) to ensure timely and accurate dosing.

4. Physician Notification:

   • Step-by-Step Approach: Notify the physician with any concerns or significant changes in blood pressure readings.
   • Engagement in Diversional Activities: Encourage the resident to stay engaged in activities to promote overall well-being.

5. Dietary Management:

   • Step-by-Step Approach: Provide diet as ordered, emphasizing low-sodium and heart-healthy foods.
   • Educational Efforts: Educate the resident and family on the importance of dietary compliance for blood pressure management.

Rationale:

• Blood Pressure Monitoring: Regular monitoring helps in early detection and management of blood pressure changes.
• Monitoring for Symptoms: Early identification of symptoms can prevent complications.
• Medication Administration: Ensures therapeutic levels of medication are maintained.
• Physician Notification: Prompt reporting allows timely medical interventions.
• Dietary Management: A heart-healthy diet supports blood pressure control.

Actions:

1. Blood Pressure Monitoring:

   • Staff will measure blood pressure as per protocol or physician’s order.

2. Monitoring for Symptoms:

   • Staff will monitor for alterations in blood pressure, including changes in mental status, headache, dizziness, or falls.

3. Medication Administration:

   • Staff will administer blood pressure medications as ordered.

4. Physician Notification:

   • Staff will notify the physician with any concerns or significant changes in blood pressure readings.

5. Dietary Management:

   • Staff will provide diet as ordered, emphasizing low-sodium and heart-healthy foods.