Hesi Hypertension Essay

(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP

A: At the end of the day no one can make me improve my health, because I am the one who controls if I workout and what I do. I am responsible for what I eat, how much I eat, weather I’m going do the right thing and work out or watch TV, or even just get up and be somebody that day like I should to get started off right every

Hypertension is the medical term for high blood pressure. A normal blood pressure is 120/80. A blood pressure reading higher or equal to 140/90 is considered abnormally high. Elevated blood pressure means your heart is working harder than normal, putting both your heart and arteries under great strain. High blood pressure is serious business.

As late as about seven decades ago, elevated blood pressure was considered by many expert physicians to be necessary for the adequate perfusion of vital organs. It was deemed as an unavoidable, hence essential, component of the aging process leading to the coining of the term “essential hypertension”. High blood pressure (BP) was considered as probable natural and necessary compensatory phenomenon that should be left alone even if there were effective treatments (Hay, 1931; White, 1937). This notion was further strengthened by the observed elevated misery and premature death recorded for the patients that were treated for hypertension with the few drugs that were available at the time compared to those that were left untreated (Goldring,

The patient does have hypertension. He previously had been on a regimen of Zestoretic, which he stopped on his own and watching blood pressures, we saw that his blood pressure had remained normal for quite some time. Starting again in May of this year, his blood pressures have escalated here in the office. He was checking them outside of the office and they were high as well. He tells me when he was checking them at the pharmacy they were ranging in the 170's over diastolic unknown. I asked him to restart the Zestoretic, which he did, but unfortunately has been out of now for the last two days. His blood pressure here today, however is 128/76. He tells me he has been tolerating the medication without any side effects. He did do the metabolic panel I requested showing normal and stable findings. He is not exercising. He does use tobacco. His weight is up a couple of pounds since I have last seen him.

My systolic blood pressure number was 136 and my diastolic blood pressure number was 87. I measured my mom’s blood pressure and her systolic number was 125 and her diastolic number was 85. When ones heart beats in contracts and forces blood through their arteries throughout the whole body. The force required to do this induces pressure on the arteries also known as systolic blood pressure. For ones systolic blood pressure level to be considered optimal it would have to less than 120, to be normal it would have to be less than 130 and to be considered in the high normal range the number would have to fall between 130-139. If ones systolic blood pressure level falls between 140-159 they are in hypertension stage 1, if it falls between 160-179

The patient has been on lisinopril since prior to becoming a patient here since June of 2014. At his prior visit, his dose was increased to 30 mg because he was not having good blood pressure control. He says since the last time I have seen him, he has made significant lifestyle changes. He has significantly changed his diet. He is taking much better consideration for carbs and trying to watch that. He is very conscious about what he is choosing to eat. In addition, he has up his exercise. He does a three mile loop almost every day and now just instead of walking, he has added some running into that as well, which he has been enjoying. Overall, he has lost 13 pounds since his last visit. He was finding that his blood pressures were dropping a little bit low. He was having some problems with feeling a little bit dizzy and lightheaded, particularly, when he first stands up after being seated. He called a couple days ago. I asked him to cut his lisinopril in half and he has done so. He says he feels better at this dose. His blood pressures prior to this, had been ranging in the 90s to 110 systolic over 60s to 70s diastolic. Here today in the office on arrival, he was 122/72. Recheck at the end of the visit was 118/80.

The doctor will likely take two to three blood pressure readings each at three or more separate appointments before diagnosing someone with high blood pressure. This is because blood pressure normally varies throughout the day, and sometimes specifically during visits to the doctor, a condition called white coat hypertension. Blood pressure generally should be measured in both arms

Hypertension is a common condition in the general population that remains one of the most important risk factors for cardiovascular disease and stroke worldwide. Prehypertension stage is defined as a systolic blood pressure between 120 and 139 or a diastolic pressure between 80 and 89. It is meant to identify adults who are at high risk for developing hypertension. Hypertension stage 1 is between 140 and 159 or diastolic pressure is between 90 and 99. It will probably need to take medication. Hypertension stage 2 is 160 or higher or diastolic pressure is 100 or higher. This stage usually must modify lifestyle habits and take a diuretic and another type of antihypertensive drug. According to Mayo Clinic, most people with high blood pressure have no signs or symptoms, even if bleed pressure readings reach dangerously high levels. A few people with high blood pressure may have headaches, shortness of breath or nosebleeds.

1. Which action will the nurse in the hypertension clinic take in order to obtain an accurate

Clinical information available in the case includes: the diagnosis of hypertension for Mr. and Mrs. Jackson and the medications that they are each taking for their disease state. Some situational

Choice "A" is not the best answer. Changing the patient’s long-acting blood pressure medications will not have any immediate benefit to this patient at this time.

To respond to his problems a care plan needs to formulate in a partnership with patient and nurse to discuss about treatment and future care planning. It is essential that the patient involves in shared decision-making and consider his culture, values and spiritual beliefs when the care plan formulated (Lhussier et al. 2013). There is the NHS mantra “no decision about me without me” by health secretary Andrew Lansley to ensure that shared decision-making should a normal routine rather than expected (Lally etal 2010). Mr Devi has hypertension with B/P of 190/999 mmHg classified as stage 2 hypertension, which is being managed by antihypertensive drug Ramipril 10mg. A certain amount of pressure in the blood vessels is requires to heart to pump

High Blood pressure (hypertension) Stage 2 range is 160 or higher systolic or 100 or higher Diastolic

High blood pressure levels do not always have a known cause. Nor will an individual with high blood pressure levels necessarily notice any symptoms. Consequently hypertension is often described as the "silent killer." In fact a person can have high blood pressure levels for several years without even realizing it. The only