How can I reduce my risk for

high blood pressure?

Reduce the saturated fat and salt in
your diet.
Try not to add salt to your foods.
Dont eat fast food.
Choose fruits, vegetables, grains and
low-fat dairy foods (like low-fat yogurt
and non-fat milk).
Exercise 30 minutes on most days of
the week.
Keep a healthy weight. People with a
BMI (Body Mass Index) of 30.0 or
higher are more likely to develop high
blood pressure.
If you smoke, quit.
Limit how much alcohol you drink.

Nursing Diagnosis
Ineffective Tissue Perfusion: cerebral, renal,
cardiac related to impaired circulation.
Outcome
Patients demonstrating an improved tissue
perfusion as indicated by: blood pressure
within acceptable limits, no complaints of
headache, dizziness, and laboratory values
within normal limits.
Stable vital signs.
Urine output 30 ml / min.

Knowledge deficit related to lack of
information about the disease process and
self-care.
Outcome:
Patients can express their knowledge and
skills of the management of early treatment
of hypertension.
Reported the use of drugs according to
medical advice.




Significance to Nursing
The nurse should promote the health, safety
and rights of the patient by uphold privacy
and confidentiality.
Primary Commitment to the patient.
Treat the patient with respect and
compassion and dignity regards of socio-
economic status, cultural attributes and
personal.
If the incidence increases there will be more
patient affected and the care given will be
challenging depending on the demographic
and availability of nurses. The other health
care providers that will be involved are the
hospice, community health workers, and
CDC.
Nclex Questions:
A modification of life styles behaviors to help
manage hypertension does not include which of
the following? (select all that apply.)
1. Weight loss
2. The DASH diet
3. Fruits, vegetables and whole grains
4. Alcohol intake with meals

Hypertension is known as the silent killer. This
phrase is associated with the fact that
hypertension often goes undetected until
symptoms of other system failures occurs. This
may occur in the form of:
1. Cerebrovascular accident
2. Liver disease
3. Myocardial infraction
4. Pulmonary disease

FOR MORE INFORMATION
Contact your primary care provider
Local Health Department
American Heart Association






BLOOD PRESSURE
AND YOUR HEALTH

Lowering your blood pressure by modifying
your lifestyle and eating habits reduces
your risk of cardiovascular disease,
including having a fatal heart attack or
stroke.






BY
JAYA LINGAM
FERRIS STATE UNIVERSITY


HYPERTENSION

Hypertension (high blood pressure) is a disease
of vascular regulation resulting from malfunction
of arterial pressure control mechanisms (central
nervous system, rennin-angiotensin aldosterone
system, extracellular fluid volume.) the cause is
unknown, and there is no cure. The basic
explanation is that blood pressure is elevated
when there is increased cardiac output plus
increased peripheral vascular resistance.
About 73 million Americans have hypertension.
Another 69 million have prehypertension. That
means at least every 3 American adults have
unhealthy blood pressure.
The American Heart Association calls
hypertension the silent killer because it often
doesnt cause any symptoms, until it damages
you circulation.

The table below shows the different stages of
hypertension:









Complication of Hypertension
Heart attack or stroke
High blood pressure can cause
hardening and thickening of the
arteries (atherosclerosis), which can
lead to a heart attack, stroke or other
complications
Heart failure
To pump blood against the higher
pressure in your vessels, your heart
muscle thickens. Eventually, the
thickened muscle may have a hard time
pumping enough blood to meet your
body's needs, which can lead to heart
failure
Kidney problems
Weaken and narrowing of blood vessels
in the kidneys can prevent it from
functioning normally. The kidneys play
a key role in keeping a person's blood
pressure in a healthy range, and blood
pressure, in turn, can affect the health
of the kidneys. High blood pressure,
also called hypertension, can damage
the kidneys and lead to chronic kidney
disease (CKD).
Vision problems
Burst blood vessels in the eye and
vision loss are two consequences of
high blood pressure affecting the blood
vessels of the eye, a condition called
retinopathy. Swelling in the optic nerve
is another possible complication, which
can lead to difficulty seeing.
Aneurysms
High blood pressure can cause the
blood vessels to weak and bulge,
causing an aneurysm. If it ruptures,
then it can be life threatening.





Who is at risk for getting
high blood pressure?
African Americans develop high
blood pressure more often than other
groups. African Americans are also
six times more likely than whites to
develop kidney failure from their
high blood pressure.
People age 55 years & older
Family history
Poor diettoo much salt
Obese people.
Tobacco users.
Sedentary lifestyles.
Diabetes Mellitus.



Research study shows hypertension is the
hallmark for kidney disease leads to end organ
failure.
The high prevalence rates in African American
are due to their culture. Research shows that
Culturally prescribed norms for diet and food
preparation were seen as the overriding cause of
hypertension.