Julie Duffek
Diagnosis – Hypertension
My patient was admitted into hospital for chest pain and edema to upper and lower extremities. Patient has a past medical history of hypertension, has a pacemaker and stent.
Pathophysiology
Hypertension (high blood pressure) is a common worldwide condition that is often asymptomatic and often undetected. When the left ventricle contracts it forces blood up and into the aorta distributing oxygenated blood throughout the body. The arterial pressures are exerted for this to occur effectively. Pressures rise and fall in response to baroreceptors that make note of the filling and emptying chambers of the heart. Systolic pressure should measure 120 mm Hg and diastolic 80 mm Hg. The difference between
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There are supportive diagnostic tests that can be used to evaluate end organ damage hypertension may cause such as Lab tests (comprehensive panel lipids, hepatic levels, C-reactive protein), MRI, CT scan, or ophthalmoscopic examination. Physician will recommend possible lifestyle changes which includes a healthy diet with less salt, exercising regularly, cessation of smoking and maintaining a healthy weight. Medication to lower your blood pressure will be prescribed.
Nursing Care Interventions:
Primary Nursing Interventions include the following: Assess patient’s baseline blood pressure (2 or 3 readings in a quiet and calm environment); Recognize which patient may exhibit “white coat syndrome” which is elevation of blood pressure in the presence of a health care professional. If this is the case the patient can record their blood pressure and bring in for evaluation; Determine risk factors that are present such as race/ethnicity, diet, exercise levels; Teach patient lifestyle modifications that will help reduce blood pressure effectively: low-sodium diet, increasing exercise, reducing weight; Teach patient to take their prescribed medications and awareness that stopping the medications will revert to increased pressure once again; Teach patient to monitor side effects of hypertensive medications: dizziness, syncope, or falls should be reported; Teach patients the importance of follow-up appointments with cardiology, ophthalmology, endocrinology; If patient is hospitalized monitor therapeutic drug effects; Maintain I & O and weight patient daily; Encourage smoking
K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.
People who have high blood pressure are putting more strain on the arteries, and this could be dangerous because it could lead to things such as heart attacks and strokes. Blood pressure can be measured by a sphygmomanometer.
As the blood is forced throughout our body, there is a pressure that is exerted on the walls of our arteries, this is known as blood pressure. We see blood pressure represented as two numbers, the systolic (top) and the diastolic (bottom) numbers. The systolic blood pressure is the heart contracting and the diastolic is the heart relaxing. A normal, healthy, blood pressure would be written as 120/80 mmHg (millimeters of mercury) or verbally expressed by most individuals as 120 over 80. Our blood pressure can vary depending on many things. When the diastolic or systolic pressure is high, or significantly and consistently above 120/80 mmHg, this is what we call hypertension. There are different stages or degrees of hypertension. Lippincott Williams and Wilkins (2010) describes the stages as the following:
Currently in the United States of America approximately 3 million U.S citizens are affected by high blood pressure a year. There are two types of high blood pressure, Primary high blood pressure and Secondary high blood pressure. Blood pressure is measured in millimeters of mercury (mmHg) and when Blood pressure is measured two numbers Systolic Pressure the pressure when the heart is pumping blood, and Diastolic pressure the pressure between heart beats. There are many treatments for high blood pressure for example changing the individual's diet to eating more whole grains, fruits, vegetable, legumes, low fat dairy products, fish high in omega-3 fatty acids, and the individual should limit eating foods high in sodium and salt, red meats, Palm
According to research, more than 1 in 3 individuals of the American population have some form of cardiovascular disease. Hypertension is at the forefront for being the most widespread circulatory problem in adults. This condition is distinguished by a person having consistent elevated blood pressure. Although the ranges for healthy blood pressure is different for everyone, medicine tells us that the ideal pressure should remain near 120/80 mmHg. These numbers are a representation of the force being exerted into our arterial system. The first number (Systolic) displays the amount of force upon the arterial walls while the heart beats. Whereas, the second reading (Diastolic) is a measurement of pressure while the heart is relaxed. One notably
Blood pressure is the force exerted by the blood on the inner walls of the veins/vessels. In many cases, when blood pressure is too high a multitude of chronic diseases can occur such as heart disease, atherosclerosis, and negatively impact every blood vessel that travels around your body. According to your blood pressure results (High Blood Pressure stage 1 Hypertension), you are in the unhealthy range putting you at risk for these diseases and others like them. This can be a result of sedentary lifestyle, poor diet, lack of exercise, smoking, drinking and etc… Blood pressure is typically inconsistent, for example is can vary by just walking around or by being nervous but your results indicate that it may be high regardless. However, it is
Blood pressure is a measurement of how forceful your blood is pressing against the walls of the arteries. Arteries are blood vessels that carry blood from your heart throughout your body. Blood pressure does not stay the same. It rises when you are active, excited, or nervous. It lowers when you are sleeping or relaxed.
Hypertension is classified as a sustained increase in blood pressure. Blood pressure is the force of blood pushing against the walls of your arteries, which carry blood from your heart to other parts of your body. Unfortunately, high blood pressure often has little to no warning signs or symptoms. With that being said, it is an important risk factor for several serious pathophysiologic conditions, such as atherosclerosis, myocardial infarction, stroke, congestive heart failure and renal disease. There are two different types of hypertension: primary hypertension and secondary hypertension. Primary hypertension results from a complex interaction between genes and the environment. Secondary hypertension, on the other hand, refers to sustained
High blood pressure (HBP), otherwise known as hypertension is one of the many diseases of the cardiovascular system. Depending on the amount of the blood that is being
High Blood Pressure, also known as hypertension, is caused by blood being pushed against blood vessels and being consistently too high. It is measured by gathering two numbers known as the systolic and diastolic. The systolic number can be found on the top and measures the amount of pressure in the arteries during the contraction of the heart muscle. The diastolic number can be found on the bottom and measures the amount of pressure in the arteries when the heart is at rest. High blood pressure can cause stroke, vision loss, heart failure, heart attack, kidney disease/failure, and sexual dysfunction. The damage starts in your arteries and heart and can cause significant damage to the body. It is also known to be a silent killer due to the lack
Hypertension is a common health problem especially among people over age of 60 years. This disease is diagnostic when a patient blood pressure is more than 140 to 159 over 90 to 99. Blood pressure refers to the pressure that blood applies to the inner walls of the Diabetes is an endocrine system disorder that occurs when the body is unable to control or balance the amount of sugar in blood and within bodily tissues. You know that the human body is like a machine, with organ systems that are specialized in certain functions, and interact with each other to allow all vital functions to happen. For the body to stay healthy, it is essential that its internal environment is stable and balanced despite the different changes that can occur inside
Basically, arterial blood pressure (BP) is directly proportional to the product of blood flow (cardiac output, CO) and the resistance to passage of blood through pre-capillary arterioles (peripheral vascular resistance, PVR) Hypertension can be caused by either an increase in Cardiac Output (CO) or by an increase in Peripheral Resistance (PR)
Cardiovascular disease is the most common cause of worldwide mortality and morbidity and accounted 30% of deaths around the world in 2003 (Vacek et al., 2011). Hypertension is a worldwide epidemic that has a strong association with age and life patterns (Wuerzner, Burnier & Waeber, 2012). Hypertension has been considered as a major risk factor of myocardial infarction, stroke, heart failure, peripheral vascular disease, chronic kidney disease, mental health issues and early death (Vacek et al., 2011; Wuerzner, Burnier & Waeber, 2012). If the systolic pressure reaches to 140mm Hg or higher and diastolic pressure climbs up to 90 mm Hg, this condition can be termed as hypertension (Torpy, Lymn & Glass, 2010, p. 2098).
With the information found with what a patient’s blood pressure is, it helps health care providers understand the state of the patient’s health. A patient’s blood pressure measures the amount of pressure exerted on arterial walls in the patient’s heart. Blood pressure is measured in two numbers: systolic and diastolic. Systolic, the number listed first in blood pressure readings, reports the amount of force exerted by the blood into the arteries during ventricular contraction.
Hypertension is defined a consistent elevation of the systolic blood pressure above 140mmHg, a diastolic pressure above 90mmHg or a report of taking antihypertensive medication. Early diagnosis and effective management of hypertension is essential because it is a major modifiable risk factor to cerebrovascular, cardiac, vascular, and renal diseases. The higher the blood pressure, the greater the risk for heart attack, heart failure, stroke, and kidney disease.