Some with high blood pressure report headaches (particularly at the back of the head and in the morning), as well as lightheadedness, vertigo, tinnitus (buzzing or hissing in the ears), altered vision or fainting episodes.
Nursing Diagnosis and Nursing Intervention for Hypertension
1. Risk for Ineffective Tissue Perfusion: Peripheral, Renal, Gastrointestinal, Cardiopulmonary related to impaired circulation
Nursing Intervention for Hypertension
Nursing Intervention for Hypertension
- Maintain bed rest, elevate head of bed
- Assess blood pressure at admission in both arms, sleeping, sitting with arterial pressure monitoring if available
- Maintain fluid and drugs.
- Observe the sudden hypotension.
- Measure inputs and expenditures
- Monitor electrolytes, BUN, creatinine.
- Ambulation according to ability; avoid fatigue
2. Decreased Cardiac Output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy
Nursing Intervention for Hypertension
- Monitor blood pressure
- Note the central and peripheral pulse quality
- Auscultation of heart and breath sounds
- Observe skin color, moisture, temperature and capillary filling time
- Observe the general edema
- Provide quiet environment, comfortable
- Suggest to reduce activity.
- Maintain restrictions on activities such as recess ditemapt bed / chair
- Help perform self-care activities as needed
- Perform actions such as a comfortable back and neck massage
- Encourage relaxation techniques
- Give fluid restriction and sodium diet as indicated.
